Sopp, Shane M

Sopp, Shane M is an individual health care provider with primary practice located at 4900 Broad Rd Cgh Pob Suite 2V, Syracuse NY 13215-2265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Sopp, Shane M can be contacted via phone (315) 492-5005.

Contact Information

Primary practice address
4900 Broad Rd Cgh Pob Suite 2V Syracuse NY 13215-2265
Phone: (315) 492-5005
Fax: (315) 492-5324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 141803 New York

Profile Details

NPI number 1497741243
LBN Legal business name Sopp, Shane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jun 18th, 2012 - about 14 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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