Chupp, Lori J

Chupp, Lori J is an individual health care provider with primary practice located at 5955 Zeamer Ave 3 Mdos / Sgoef, Elmendorf Afb AK 99506-3702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chupp, Lori J can be contacted via phone (907) 580-2318.

Contact Information

Primary practice address
5955 Zeamer Ave 3 Mdos / Sgoef Elmendorf Afb AK 99506-3702
Phone: (907) 580-2318
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1032481

Profile Details

NPI number 1396729778
LBN Legal business name Chupp, Lori J
Credentials M PA-S
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 19 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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