Spencer Schup, Kimberly Ann

Spencer Schup, Kimberly Ann is an individual health care provider with primary practice located at 3106 50Th St Ste. 400, Lubbock TX 79413-4132. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Spencer Schup, Kimberly Ann can be contacted via phone (806) 698-8088.

Contact Information

Primary practice address
3106 50Th St Ste. 400 Lubbock TX 79413-4132
Fax: (806) 698-8588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X J6739 Texas

Profile Details

NPI number 1487869293
LBN Legal business name Spencer Schup, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1487869293 NPPES
Texas Other J6739 MEDICAL LICENSE

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