Shupe, Jennifer Marsh

Shupe, Jennifer Marsh is an individual health care provider with primary practice located at 910 E Houston St Ste 330, Tyler TX 75702-8369. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Shupe, Jennifer Marsh can be contacted via phone (903) 510-8848.

Contact Information

Primary practice address
910 E Houston St Ste 330 Tyler TX 75702-8369
Phone: (903) 510-8848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X N6024 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X N6024 Texas

Profile Details

NPI number 1982751798
LBN Legal business name Shupe, Jennifer Marsh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Apr 1st, 2016 - about 8 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 1982751798 NPPES
Texas Other 752616977095 TRICARE
Texas Other 8V3858 TRICARE
Texas Other TIN PLUS 052 TRICARE
Texas MEDICAID 214783701 TRICARE

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