Dr. David L Shupp
Dermatologist
500 University Dr Suite 102
Hershey
, Pennsylvania 17033-2360
Dr. David L Shupp
Dermatologist
500 University Dr Suite 102
Hershey
, Pennsylvania 17033-2360
(800) 243-1455
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. David L Shupp
- 32 Colonnade Way
- State College, PA
- Zip : 16803-2309
- Phone : (800) 243-1455
Second Address
- Dr. David L Shupp
- 500 University Dr Suite 102
- Hershey, PA
- Zip : 17033-2360
- Phone : (800) 243-1455
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Is Dr. David L Shupp a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD026767E | PA |
National Provider Identifier
| NPI | 1033167770 |
|---|---|
| Provider Name | Dr. David L Shupp |
| First Address | State College, PA 16803-2309 |
| Second Address | Hershey, PA 17033-2360 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 28/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1026122110001 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.