Shane M Sopp, Md Pc
LBN: Shane M Sopp, Md Pc
Shane M Sopp, Md Pc is an health care organization with primary practice located at 4900 Broad Rd Cgh Pob Suite 2V, Syracuse NY 13215-2265. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty.
Shane M Sopp, Md Pc can be contacted via phone (315) 492-5005, or through Sopp, Shane M 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:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X |
Profile Details
NPI number | 1952397705 |
---|---|
LBN Legal business name | Shane M Sopp, Md Pc |
DBA Doing business as | |
Authorized official | Sopp, Shane M Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Feb 7th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952397705 | NPPES |
New York | MEDICAID | 01992896 |
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