Tupper, Johnathan J

Tupper, Johnathan J is an individual health care provider with primary practice located at 3960 New Covington Pike , Memphis TN 38128-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tupper, Johnathan J can be contacted via phone (901) 516-5211.

Contact Information

Primary practice address
3960 New Covington Pike Memphis TN 38128-2504
Phone: (901) 516-5211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28913 Tennessee

Profile Details

NPI number 1538161559
LBN Legal business name Tupper, Johnathan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 23rd, 2016 - about 9 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 1538161559 NPPES
Tennessee MEDICAID 3820007

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