Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE CAUDILL
Active Sole ProprietorSHANE CAUDILL is a Student (Health Education/Training) healthcare provider located in BELLEVILLE, Illinois. NPI 1073900650 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · BELLEVILLE, IL
Registration Details
- NPI Number
- 1073900650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2015 (11.274624327219 yrs)
- Last Updated
- Apr 21, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
2600 W MAIN STBELLEVILLE, IL, 622266651Browse IL providers · Browse ZIP 62226
- Phone
- 6182396109
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JASON CHRISTOPHER MCCARTHY | M.D. | 1962605782 |
| NABELLA DOREEN ABEDIN | M.D. | 1093976136 |
| HEATHER DANIELLE WALDEMAR | — | 1043868193 |
| DIANA NICOLE SHAMROSKI | — | 1952959009 |
| JESSICA GATLIN | — | 1225867021 |
| CAROLINE MCDONALD | — | 1346132834 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.