Shope, Timothy R

Shope, Timothy R is an individual health care provider with primary practice located at 750 East Adams St , Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shope, Timothy R can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 East Adams St Syracuse NY 13210
Phone: (315) 464-1800
Fax: (315) 464-6238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD419316 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 313283 New York

Profile Details

NPI number 1588621460
LBN Legal business name Shope, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 22nd, 2023 - about last year

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 1588621460 NPPES
New York MEDICAID 06825254

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