Rupp, Debra S.

Rupp, Debra S. is an individual health care provider with primary practice located at 2442 Mohawk Blvd , Tulsa OK 74110-1519. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rupp, Debra S. can be contacted via phone (918) 430-0975.

Contact Information

Primary practice address
2442 Mohawk Blvd Tulsa OK 74110-1519
Phone: (918) 430-0975
Fax: (918) 430-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADC1001 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC5017 Oklahoma

Profile Details

NPI number 1023390002
LBN Legal business name Rupp, Debra S.
Credentials MSED, LADC UNDERSUP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Sep 6th, 2013 - about 12 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 1023390002 NPPES
Oklahoma MEDICAID 1104049733

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