Kluppel, Shannon Eugene Keith
Kluppel, Shannon Eugene Keith is an sole proprietor health care provider with primary practice located at 1000 E James St , Baytown TX 77520-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kluppel, Shannon Eugene Keith can be contacted via phone (281) 422-5437.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G8219 | Texas |
Profile Details
NPI number | 1417062639 |
---|---|
LBN Legal business name | Kluppel, Shannon Eugene Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417062639 | NPPES |
Texas | MEDICAID | 114472701 |
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