Cupp, David

Cupp, David is an individual health care provider with primary practice located at 3939 J St Suite 106, Sacramento CA 95819-3636. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Cupp, David can be contacted via phone (916) 454-4861.

Contact Information

Primary practice address
3939 J St Suite 106 Sacramento CA 95819-3636
Phone: (916) 454-4861
Fax: (916) 454-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A120754 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X A120754 California

Profile Details

NPI number 1497901565
LBN Legal business name Cupp, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Apr 3rd, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497901565 NPPES
California MEDICAID 0A1207540

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