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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972576080 | NPPES |
| Washington | MEDICAID | 8406910 |
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