Tupper, David E

Tupper, David E is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Tupper, David E can be contacted via phone (612) 873-2599.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-2599
Fax: (612) 904-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP2193 Minnesota

Profile Details

NPI number 1336185008
LBN Legal business name Tupper, David E
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 28th, 2007 - about 18 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 1336185008 NPPES
Minnesota Other 37A22TU BLUE CROSS BLUE SHIELD
Minnesota Other 152299 BLUE CROSS BLUE SHIELD
Minnesota Other 61-56994 BLUE CROSS BLUE SHIELD

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