Shoup, Randolph Ken
Shoup, Randolph Ken is an sole proprietor health care provider with primary practice located at 14297 Bergen Blvd # 100 , Noblesville IN 46060-3358. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shoup, Randolph Ken can be contacted via phone (317) 776-1100.Contact Information
Primary practice address
14297 Bergen Blvd # 100
Noblesville IN 46060-3358
Phone: (317) 776-1100
Fax: (317) 776-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12008036A | Indiana |
Profile Details
| NPI number | 1295741577 |
|---|---|
| LBN Legal business name | Shoup, Randolph Ken |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Oct 22nd, 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.
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