Krupa, Joseph John

Krupa, Joseph John is an sole proprietor health care provider with primary practice located at 3304 Forest Dr , Columbia SC 29204-4024. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Krupa, Joseph John can be contacted via phone (803) 551-2572.

Contact Information

Primary practice address
3304 Forest Dr Columbia SC 29204-4024
Phone: (803) 551-2572
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6496 North Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9256 South Carolina

Profile Details

NPI number 1427121078
LBN Legal business name Krupa, Joseph John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated May 5th, 2020 - about 4 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 1427121078 NPPES
South Carolina MEDICAID ZX9256
South Carolina MEDICAID 8995063

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