Shamp, Joseph Edward

Shamp, Joseph Edward is an individual health care provider with primary practice located at 3500 S 79Th St Ste A , Fort Smith AR 72903-6250. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Shamp, Joseph Edward can be contacted via phone (479) 484-1620.

Contact Information

Primary practice address
3500 S 79Th St Ste A Fort Smith AR 72903-6250
Phone: (479) 484-1620
Fax: (479) 484-1619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OPPA0006 Arkansas

Profile Details

NPI number 1245598143
LBN Legal business name Shamp, Joseph Edward
Credentials BE BOCO, LPOA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Jul 9th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245598143 NPPES
Arkansas Other OPPA0006 ARKANSAS BOARD OF MEDICAL LICENSING FOR O&P

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