National Provider Identifier Database

JEREMY SHUPPERD, CPO – NPI #1306698071
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JEREMY SHUPPERD, CPO
427 N CURTIS RD
BOISE, ID83706-1439
Phone: 208-342-4104
Fax: 208-342-4106
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for JEREMY SHUPPERD

NPI Number 1306698071
Credentials CPO
Entity Individual
Enumeration date 04/04/2024
Last updated 04/04/2024 - About 2 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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.

Reviews for JEREMY SHUPPERD, CPO

There are currently no reviews for JEREMY SHUPPERD, CPO


NPIdb - Home
v2.201