Kupcho, Richard A
Kupcho, Richard A is an sole proprietor health care provider with primary practice located at 2715 Se Morningside Blvd , Port St Lucie FL 34952-5705. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kupcho, Richard A can be contacted via phone (772) 337-4611.Contact Information
Primary practice address
2715 Se Morningside Blvd
Port St Lucie FL 34952-5705
Phone: (772) 337-4611
Fax: (772) 337-4619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038006294 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | CH6447 | Florida |
Profile Details
| NPI number | 1023016813 |
|---|---|
| LBN Legal business name | Kupcho, Richard A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Sep 27th, 2023 - about 3 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 | 1023016813 | NPPES |
| Other | 11319830 | CAQH | |
| Other | CH6447 | CAQH |
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