Kupsick, Phyllis T.

Kupsick, Phyllis T. is an individual health care provider with primary practice located at 313 Yadkin St , Albemarle NC 28001-3441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kupsick, Phyllis T. can be contacted via phone (704) 984-4388.

Contact Information

Primary practice address
313 Yadkin St Albemarle NC 28001-3441
Phone: (704) 984-4388
Fax: (704) 984-4132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201184 North Carolina

Profile Details

NPI number 1033199682
LBN Legal business name Kupsick, Phyllis T.
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 10th, 2014 - about 10 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 1033199682 NPPES
North Carolina MEDICAID 8984978
North Carolina Other 0105E

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