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Individual
DR. JACOB WAYNE SHIPLEY
Active
Individual
DR. JACOB WAYNE SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD450197
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.123054
OH
208VP0000X
Pain Medicine Physician
Primary
MD450197
PA
Other
Enumeration date
07/28/2009
Last updated
03/08/2021
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