Pupo, Marc Anthony

Pupo, Marc Anthony is an sole proprietor health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Emergency is his primary health care specialty. Pupo, Marc Anthony can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Decatur GA 30033-4004
Phone: (404) 321-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN107131 Georgia
Nursing Service Providers / Emergency 163WE0003X RN107131 Georgia
Nursing Service Providers / Ambulatory Care 163WP2201X RN107131 Georgia

Profile Details

NPI number 1629007596
LBN Legal business name Pupo, Marc Anthony
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Sep 21st, 2010 - about 14 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 1629007596 NPPES
South Carolina Other 81438 REGISTRATION NUMBER
South Carolina Other RN127602 REGISTRATION NUMBER
South Carolina Other 666998 REGISTRATION NUMBER
South Carolina Other RN9219847 REGISTRATION NUMBER
South Carolina Other RN109560 REGISTRATION NUMBER
South Carolina Other 4704237121 REGISTRATION NUMBER
South Carolina Other RN107131 REGISTRATION NUMBER

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