Kupersmith, Arthur
Kupersmith, Arthur is an individual health care provider with primary practice located at 101 S Washington St , Marion IN 46952-3867. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kupersmith, Arthur can be contacted via phone (765) 662-9971.Contact Information
Primary practice address
101 S Washington St
Marion IN 46952-3867
Phone: (765) 662-9971
Fax: (765) 651-6556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LIC20090165A | Indiana |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LIC20090165A | Indiana |
Profile Details
| NPI number | 1861505059 |
|---|---|
| LBN Legal business name | Kupersmith, Arthur |
| Credentials | PHD., HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jan 28th, 2016 - about 10 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 | 1861505059 | NPPES |
| Indiana | MEDICAID | 100123560A | |
| Indiana | Other | 000000317611 | |
| Indiana | Other | 4027 | |
| Indiana | Other | 776095000 | |
| Indiana | Other | 350868083 | |
| Indiana | Other | 88367428 | |
| Indiana | Other | 177120A | |
| Indiana | Other | 66108 | |
| Indiana | Other | LIC34001263A |
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