Shoup, David
Shoup, David is an individual health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shoup, David can be contacted via phone (573) 596-9602.Contact Information
Primary practice address
4430 Missouri Ave
Fort Leonard Wood MO 65473-9098
Phone: (573) 596-9602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2000175328 | Missouri |
Profile Details
| NPI number | 1386795722 |
|---|---|
| LBN Legal business name | Shoup, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Mar 22nd, 2023 - about 2 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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