Kupferer, Thomas William
Kupferer, Thomas William is an sole proprietor health care provider with primary practice located at 628 N 14Th St , Murphysboro IL 62966-1807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Rural Health, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kupferer, Thomas William can be contacted via phone (618) 687-2353.Contact Information
Primary practice address
628 N 14Th St
Murphysboro IL 62966-1807
Phone: (618) 687-2353
Fax: (618) 687-9511
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-066913 | Illinois |
Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 036066913 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036066913 | Illinois |
Profile Details
NPI number | 1437147089 |
---|---|
LBN Legal business name | Kupferer, Thomas William |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 7th, 2005 |
Last updated | Jun 27th, 2024 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437147089 | NPPES |
Illinois | Other | 039-00152 | BCBS |
Illinois | Other | 118099 | BCBS |
Illinois | MEDICAID | 036066913-2 | BCBS |
Illinois | Other | 027368 | BCBS |
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