Kupferer, Thomas William

Kupferer, Thomas William is an sole proprietor health care provider with primary practice located at 628 N 14Th St , Murphysboro IL 62966-1807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Rural Health, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kupferer, Thomas William can be contacted via phone (618) 687-2353.

Contact Information

Primary practice address
628 N 14Th St Murphysboro IL 62966-1807
Phone: (618) 687-2353
Fax: (618) 687-9511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-066913 Illinois
Ambulatory Health Care Facilities / Rural Health 261QR1300X 036066913 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036066913 Illinois

Profile Details

NPI number 1437147089
LBN Legal business name Kupferer, Thomas William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2005
Last updated Jun 27th, 2024 - about 2 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 1437147089 NPPES
Illinois Other 039-00152 BCBS
Illinois Other 118099 BCBS
Illinois MEDICAID 036066913-2 BCBS
Illinois Other 027368 BCBS

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