Shoup, Richard M

Shoup, Richard M is an individual health care provider with primary practice located at 112 Spencer St , Manchester CT 06040-4601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Shoup, Richard M can be contacted via phone (860) 432-5600.

Contact Information

Primary practice address
112 Spencer St Manchester CT 06040-4601
Phone: (860) 432-5600
Fax: (860) 432-5622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 033290 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33290 Connecticut
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 033290 Connecticut

Profile Details

NPI number 1518930957
LBN Legal business name Shoup, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 6th, 2020 - about 5 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 1518930957 NPPES
Connecticut MEDICAID 001332907

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