Cupp, Nicole Lynn

Cupp, Nicole Lynn is an sole proprietor health care provider with primary practice located at 226 Se Debell Ave , Bartlesville OK 74006-2343. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Cupp, Nicole Lynn can be contacted via phone (918) 876-0476.

Contact Information

Primary practice address
226 Se Debell Ave Bartlesville OK 74006-2343
Phone: (918) 876-0476
Fax: (918) 876-0479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 301 Oklahoma

Profile Details

NPI number 1619298346
LBN Legal business name Cupp, Nicole Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2010
Last updated Mar 25th, 2016 - 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 1619298346 NPPES
Oklahoma MEDICAID 200526540A

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