Pupp, Jeffrey Bruce

Pupp, Jeffrey Bruce is an individual health care provider with primary practice located at 1602 Doctors Cir , Wilmington NC 28401-7406. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Pupp, Jeffrey Bruce can be contacted via phone (910) 343-8889.

Contact Information

Primary practice address
1602 Doctors Cir Wilmington NC 28401-7406
Phone: (910) 343-8889
Fax: (910) 343-9990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 230 North Carolina
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 230 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 230 North Carolina

Profile Details

NPI number 1497723324
LBN Legal business name Pupp, Jeffrey Bruce
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 18th, 2013 - about 12 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 1497723324 NPPES
North Carolina Other 0809N BCBS NC
North Carolina MEDICAID 890809N BCBS NC
North Carolina Other E1549 BCBS NC
North Carolina Other P00959571 BCBS NC
North Carolina Other E1551 BCBS NC

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