Shiplov, Jeremiah Joseph

Shiplov, Jeremiah Joseph is an individual health care provider with primary practice located at 1067 Twining Dr , Berksdale Afb LA 71110-2414. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shiplov, Jeremiah Joseph can be contacted via phone (318) 456-6776.

Contact Information

Primary practice address
1067 Twining Dr Berksdale Afb LA 71110-2414
Phone: (318) 456-6776
Fax: (318) 456-6636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4227 Louisiana

Profile Details

NPI number 1477522092
LBN Legal business name Shiplov, Jeremiah Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477522092 NPPES
Louisiana Other 21648 STATE DRUG DEPT OF HEALTH

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