Provider Demographics
NPI:1124474200
Name:SHAPPEE, JAMIE RAE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:RAE
Last Name:SHAPPEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 E BARRETT AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-4321
Mailing Address - Country:US
Mailing Address - Phone:248-229-8334
Mailing Address - Fax:
Practice Address - Street 1:941 E BARRETT AVE
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-4321
Practice Address - Country:US
Practice Address - Phone:248-229-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other