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Contact Information

DEAN A SHOUP, LMT
2766 MACK RD
FAIRFIELD, OH45014-5129
 Phone: 513-942-2500
 Fax: 513-942-7999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for DEAN A SHOUP · (Male)

NPI # 1689934317
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 05/29/2012
Last updated 05/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 33.019427 S
  • OH Other 33.019427 S STATE MEDICAL BOARD OF OHIO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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