Shoup, Eric E

Shoup, Eric E is an individual health care provider with primary practice located at 8 Richland Medical Park Dr Ste 100 , Columbia SC 29203-8006. 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, Eric E can be contacted via phone (803) 434-3800.

Contact Information

Primary practice address
8 Richland Medical Park Dr Ste 100 Columbia SC 29203-8006
Phone: (803) 434-3800
Fax: (803) 744-2759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 744 South Carolina

Profile Details

NPI number 1073576781
LBN Legal business name Shoup, Eric E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jun 25th, 2021 - about 4 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 1073576781 NPPES
South Carolina MEDICAID 0035PA

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