Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 0692 | KS |
Y | 103T00000X | Psychologist | 0692 | KS |
NPI | 1003818899 |
---|---|
Provider Name | Dr. Richard M Shapiro |
First Address | Topeka, KS 66606-1227 |
Second Address | Topeka, KS 66606-1227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005205266 | AETNA (01) | KS |
010602 | BCBSKS (01) | KS |
100238960A | (05) | KS |
680003247 | RAILROAD MEDICARE (01) | KS |
R30827 | (02) | KS |