Shupe, James Grant
Shupe, James Grant is an sole proprietor health care provider with primary practice located at 6404 International Pkwy Suite 2100, Plano TX 75093-8225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shupe, James Grant can be contacted via phone (972) 267-1988.Contact Information
Primary practice address
6404 International Pkwy Suite 2100
Plano TX 75093-8225
Phone: (972) 267-1988
Fax: (972) 267-3434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | H6605 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | H6605 | Texas |
Profile Details
| NPI number | 1952469330 |
|---|---|
| LBN Legal business name | Shupe, James Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Feb 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952469330 | NPPES |
| Texas | MEDICAID | 128517305 |
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