Lupp, Thomas

Lupp, Thomas is an sole proprietor health care provider with primary practice located at 4125 Longview Ave , Erie PA 16510-3535. He recently has 2 registered licenses in different health care specialties including Laboratories / Military Clinical Medical Laboratory, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is his primary health care specialty. Lupp, Thomas can be contacted via phone (814) 860-0777.

Contact Information

Primary practice address
4125 Longview Ave Erie PA 16510-3535
Phone: (814) 860-0777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Military Clinical Medical Laboratory 291900000X
Laboratories / Clinical Medical Laboratory 291U00000X 4830 Hawaii
Laboratories / Clinical Medical Laboratory 291U00000X 1108070014
Laboratories / Clinical Medical Laboratory 291U00000X 44317

Profile Details

NPI number 1417360462
LBN Legal business name Lupp, Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2014
Last updated Jun 7th, 2014 - about 11 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 1417360462 NPPES
Hawaii Other 4830 STATE OF HAWAII MLT
Hawaii Other 1108070014 STATE OF HAWAII MLT
Hawaii Other 44317 STATE OF HAWAII MLT

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