Kupchan, Audrey

Kupchan, Audrey is an individual health care provider with primary practice located at 900 Warren Ave Suite 400, East Providence RI 02914-1430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kupchan, Audrey can be contacted via phone (401) 331-1221.

Contact Information

Primary practice address
900 Warren Ave Suite 400 East Providence RI 02914-1430
Fax: (401) 751-8003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD06367 Rhode Island

Profile Details

NPI number 1609863125
LBN Legal business name Kupchan, Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Apr 2nd, 2024 - about 8 months 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 1609863125 NPPES
Rhode Island MEDICAID AK04309
Rhode Island Other 709003711

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