Garland, Jack Shoup
Garland, Jack Shoup is an sole proprietor health care provider with primary practice located at 1397 Weimer Rd , Taos NM 87571-6284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Garland, Jack Shoup can be contacted via phone (505) 751-5884.Contact Information
Primary practice address
1397 Weimer Rd
Taos NM 87571-6284
Phone: (505) 751-5884
Fax: (505) 737-3398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 2002-0370 | New Mexico |
Profile Details
| NPI number | 1538340005 |
|---|---|
| LBN Legal business name | Garland, Jack Shoup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2007 |
| Last updated | Nov 26th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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