Shoup, Jaime

Shoup, Jaime is an sole proprietor health care provider with primary practice located at 2933 Breckenridge Ln Ste 101 , Louisville KY 40220-1494. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Shoup, Jaime can be contacted via phone (502) 588-0736.

Contact Information

Primary practice address
2933 Breckenridge Ln Ste 101 Louisville KY 40220-1494
Phone: (502) 588-0736
Fax: (502) 588-0721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 57923 Kentucky
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 01093584A Indiana

Profile Details

NPI number 1023543535
LBN Legal business name Shoup, Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2017
Last updated Jul 1st, 2024 - about last year

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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