Shupe, James A
Shupe, James A is an individual health care provider with primary practice located at 3030 Lake Ave Suite 15, Fort Wayne IN 46805-5428. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shupe, James A can be contacted via phone (260) 422-8419.Contact Information
Primary practice address
3030 Lake Ave Suite 15
Fort Wayne IN 46805-5428
Phone: (260) 422-8419
Fax: (260) 422-3591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12008822A | Indiana |
Profile Details
| NPI number | 1013016823 |
|---|---|
| LBN Legal business name | Shupe, James A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 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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