Individual
DR. JACOB MICHAEL SHUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1330 5TH AVE, GARNER, NC 27529-3638
(563) 275-8719
Mailing address
1330 5TH AVE, GARNER, NC 27529-3638
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4449
NC
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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