Shipe, Terry L
Shipe, Terry L is an sole proprietor health care provider with primary practice located at 306 E Maumee St Ste 201 , Angola IN 46703-2035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shipe, Terry L can be contacted via phone (260) 665-7595.Contact Information
Primary practice address
306 E Maumee St Ste 201
Angola IN 46703-2035
Phone: (260) 665-7595
Fax: (260) 665-6586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01029019A | Indiana |
Profile Details
| NPI number | 1407859994 |
|---|---|
| LBN Legal business name | Shipe, Terry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Nov 15th, 2022 - about 2 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 | 1407859994 | NPPES |
| Indiana | MEDICAID | 100329370A |
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