Tupa, David John
Tupa, David John is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as his primary health care specialty. Tupa, David John can be contacted via phone (701) 234-4141.Contact Information
Primary practice address
100 4Th St S
Fargo ND 58103-1929
Phone: (701) 234-4141
Fax: (701) 234-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 385 | North Dakota |
Profile Details
| NPI number | 1952323529 |
|---|---|
| LBN Legal business name | Tupa, David John |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 29th, 2008 - about 16 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 | 1952323529 | NPPES |
| North Dakota | MEDICAID | 13706 | |
| North Dakota | MEDICAID | 783862000 |
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