Shupp, Jeffrey Wilson

Shupp, Jeffrey Wilson is an individual health care provider with primary practice located at 110 Irving St Nw Suite 3B-55, Washington DC 20010-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shupp, Jeffrey Wilson can be contacted via phone (202) 877-7347.

Contact Information

Primary practice address
110 Irving St Nw Suite 3B-55 Washington DC 20010-3017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD037794 District of Columbia

Profile Details

NPI number 1972760874
LBN Legal business name Shupp, Jeffrey Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Oct 24th, 2011 - 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.

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