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
Fax: (701) 234-4160
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952323529 NPPES
North Dakota MEDICAID 13706
North Dakota MEDICAID 783862000

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