Rupert, Steven A

Rupert, Steven A is an individual health care provider with primary practice located at 4645 Village Square Dr Ste C , Paducah KY 42001-7448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Rupert, Steven A can be contacted via phone (270) 228-0118.

Contact Information

Primary practice address
4645 Village Square Dr Ste C Paducah KY 42001-7448
Phone: (270) 228-0118
Fax: (270) 228-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 02001097 Indiana

Profile Details

NPI number 1295732055
LBN Legal business name Rupert, Steven A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 24th, 2023 - about 3 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 1295732055 NPPES
Indiana MEDICAID 200850420A
Indiana MEDICAID 100179690
Indiana MEDICAID 64873391

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