Cupino, Elmer
Cupino, Elmer is an sole proprietor health care provider with primary practice located at 1695 Main St Fl 400 , Springfield MA 01103-1063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Cupino, Elmer can be contacted via phone (413) 241-3817.Contact Information
Primary practice address
1695 Main St Fl 400
Springfield MA 01103-1063
Phone: (413) 241-3817
Fax: (570) 902-7736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 72629 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD046183L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 72629 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD046183L | Pennsylvania |
Profile Details
| NPI number | 1376518977 |
|---|---|
| LBN Legal business name | Cupino, Elmer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376518977 | NPPES |
| Other | 02873900 | CAPITAL BLUE CROSS | |
| MEDICAID | 0012780540003 | CAPITAL BLUE CROSS |
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