Rupp, Beth Conrad

Rupp, Beth Conrad is an individual health care provider with primary practice located at 600 N Jordan Ave , Bloomington IN 47405-3190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rupp, Beth Conrad can be contacted via phone (812) 855-0093.

Contact Information

Primary practice address
600 N Jordan Ave Bloomington IN 47405-3190
Phone: (812) 855-0093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00043577 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01062309A Indiana

Profile Details

NPI number 1972576080
LBN Legal business name Rupp, Beth Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 11th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972576080 NPPES
Washington MEDICAID 8406910

Popular Providers