Jupp, Roberta O'Connor

Jupp, Roberta O'Connor is an sole proprietor health care provider with primary practice located at 147 Vera Rd Ste E , Lexington SC 29072-3756. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jupp, Roberta O'Connor can be contacted via phone (803) 399-0212.

Contact Information

Primary practice address
147 Vera Rd Ste E Lexington SC 29072-3756
Phone: (803) 399-0212
Fax: (803) 728-3224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 726464 South Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 131 South Carolina

Profile Details

NPI number 1659405512
LBN Legal business name Jupp, Roberta O'Connor
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Apr 26th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659405512 NPPES
South Carolina MEDICAID DPE012

Popular Providers