Shupe, David Wayne

Shupe, David Wayne is an individual health care provider with primary practice located at 2050 W Main St #4, Rapid City SD 57702-0905. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Shupe, David Wayne can be contacted via phone (605) 342-9575.

Contact Information

Primary practice address
2050 W Main St #4 Rapid City SD 57702-0905
Phone: (605) 342-9575
Fax: (605) 342-9592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 135 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 135 South Dakota

Profile Details

NPI number 1770571085
LBN Legal business name Shupe, David Wayne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770571085 NPPES
South Dakota Other 4998962 WELLMARK
South Dakota MEDICAID 5830732 WELLMARK

Popular Providers