Cupp, Julie A

Cupp, Julie A is an individual health care provider with primary practice located at 7843 Youree Dr , Shreveport LA 71105-5505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Cupp, Julie A can be contacted via phone (318) 212-3772.

Contact Information

Primary practice address
7843 Youree Dr Shreveport LA 71105-5505
Phone: (318) 212-3772
Fax: (318) 212-3773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R7857 Iowa
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 2014-00152 North Carolina
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X P6366 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 303750 Louisiana

Profile Details

NPI number 1275742470
LBN Legal business name Cupp, Julie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jun 23rd, 2021 - about 3 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 1275742470 NPPES
Texas MEDICAID 329507301

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