Kuphal, David M

Kuphal, David M is an individual health care provider with primary practice located at 188 Rockwood Ln , Neenah WI 54956-1983. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kuphal, David M can be contacted via phone (920) 725-4100.

Contact Information

Primary practice address
188 Rockwood Ln Neenah WI 54956-1983
Phone: (920) 725-4100
Fax: (920) 725-5528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1774-023 Wisconsin

Profile Details

NPI number 1417999269
LBN Legal business name Kuphal, David M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 3rd, 2021 - about 5 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 1417999269 NPPES
Wisconsin Other 1774-023 STATE LICENSE

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