Individual
DR. JOHN H SHUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
126 N CROSS ST, WEST UNION, OH 45693-1209
(937) 544-8989
(937) 544-5659
Mailing address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8008
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-083116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426333
—
OH
05
—
64071848
—
KY
01
—
P00157248
RAILROAD MEDICARE
OH
Enumeration date
06/05/2006
Last updated
05/15/2012
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