Shock, John Paul
Shock, John Paul is an individual health care provider with primary practice located at 4301 W Markham St # 523 , Little Rock AR 72205-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shock, John Paul can be contacted via phone (501) 686-5152.Contact Information
Primary practice address
4301 W Markham St # 523
Little Rock AR 72205-7101
Phone: (501) 686-5152
Fax: (501) 686-7037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R-2739 | Arkansas |
Profile Details
| NPI number | 1962517896 |
|---|---|
| LBN Legal business name | Shock, John Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 13th, 2008 - 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 | 1962517896 | NPPES |
| Other | 12025000000 | QUALCHOICE | |
| Other | R2739 | QUALCHOICE | |
| Other | 180015891 | QUALCHOICE | |
| MEDICAID | 104773001 | QUALCHOICE | |
| Other | P00020587 | QUALCHOICE |
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