Individual
DR. BRIAN W SHIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 278-4818
(814) 234-6150
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 278-4818
(814) 234-6150
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
OS014818
PA
207P00000X
Emergency Medicine Physician
0102203823
VA
207P00000X
Emergency Medicine Physician
2010-00473
NC
207P00000X
Emergency Medicine Physician
OS014818
PA
207P00000X
Emergency Medicine Physician
OS11793
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036155857
IL
Other
Enumeration date
09/10/2008
Last updated
08/27/2021
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