Shoup, Karissa

Shoup, Karissa is an sole proprietor health care provider with primary practice located at 10 Vo Tech Dr , Oil City PA 16301-3502. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shoup, Karissa can be contacted via phone (814) 676-8686.

Contact Information

Primary practice address
10 Vo Tech Dr Oil City PA 16301-3502
Phone: (814) 676-8686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN263363 Pennsylvania

Profile Details

NPI number 1992467948
LBN Legal business name Shoup, Karissa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2021
Last updated Oct 7th, 2021 - about 3 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 1992467948 NPPES
Pennsylvania MEDICAID 1007538560002

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