Garland, Jack Shoup

Garland, Jack Shoup is an sole proprietor health care provider with primary practice located at 1397 Weimer Rd , Taos NM 87571-6284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Garland, Jack Shoup can be contacted via phone (505) 751-5884.

Contact Information

Primary practice address
1397 Weimer Rd Taos NM 87571-6284
Phone: (505) 751-5884
Fax: (505) 737-3398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 2002-0370 New Mexico

Profile Details

NPI number 1538340005
LBN Legal business name Garland, Jack Shoup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 2007 - about 18 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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