Martha Shuping Md

LBN: Martha Shuping Md
Martha Shuping Md is an health care organization with primary practice located at 2839 Maplewood Ave Suite A, Winston-Salem NC 27103-4114. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Martha Shuping Md can be contacted via phone (336) 745-7344, or through Whitley, Paula via phone (704) 699-8042.

Contact Information

Primary practice address
2839 Maplewood Ave Suite A Winston-Salem NC 27103-4114
Phone: (336) 745-7344
Fax: (336) 768-1857
Website:
Map and Directions
Authorized official contact:
Name: Whitley, Paula
Phone: (704) 699-8042

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 32172 North Carolina

Profile Details

NPI number 1639554819
LBN Legal business name Martha Shuping Md
DBA Doing business as
Authorized official Whitley, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2015
Last updated Jul 29th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639554819 NPPES
North Carolina MEDICAID 5902384

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