Shupe, Jimmy Maurice

Shupe, Jimmy Maurice is an individual health care provider with primary practice located at 4746 S Broadway Ave , Tyler TX 75703-1308. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Shupe, Jimmy Maurice can be contacted via phone (903) 561-8774.

Contact Information

Primary practice address
4746 S Broadway Ave Tyler TX 75703-1308
Phone: (903) 561-8774
Fax: (903) 561-8787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 50685 Texas

Profile Details

NPI number 1699187534
LBN Legal business name Shupe, Jimmy Maurice
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2014
Last updated Feb 20th, 2015 - about 10 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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