Kupcho, Richard A

Kupcho, Richard A is an sole proprietor health care provider with primary practice located at 2715 Se Morningside Blvd , Port St Lucie FL 34952-5705. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kupcho, Richard A can be contacted via phone (772) 337-4611.

Contact Information

Primary practice address
2715 Se Morningside Blvd Port St Lucie FL 34952-5705
Fax: (772) 337-4619
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038006294 Illinois
Chiropractic Providers / Chiropractor 111N00000X CH6447 Florida

Profile Details

NPI number 1023016813
LBN Legal business name Kupcho, Richard A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023016813 NPPES
Other 11319830 CAQH
Other CH6447 CAQH

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