Rupp, Alice M
Rupp, Alice M is an individual health care provider with primary practice located at 4050 Healthway Dr Suite 140, Aurora IL 60504-8183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Rupp, Alice M can be contacted via phone (630) 318-3355.Contact Information
Primary practice address
4050 Healthway Dr Suite 140
Aurora IL 60504-8183
Phone: (630) 318-3355
Fax: (630) 701-9277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036083796 | Illinois |
Profile Details
NPI number | 1679595086 |
---|---|
LBN Legal business name | Rupp, Alice M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Aug 10th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679595086 | NPPES |
Illinois | Other | 271168698 | TAX ID# |
Illinois | Other | 110240875 | TAX ID# |
Illinois | Other | 0222075 | TAX ID# |
Illinois | Other | 3631498336019001 | TAX ID# |
Illinois | MEDICAID | 036083796 | TAX ID# |
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