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Contact Information

PETER J SCHUPP, CRNA
200 HAWTHORNE LN
CHARLOTTE, NC28204
 Phone: 704-384-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for PETER J SCHUPP · (Male)

NPI Number 1114271392
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/09/2012
Last updated 08/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 216289
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER-NORTHEAST - (Acute Care)
    920 CHURCH ST N
    CONCORD, NC 28025
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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