Trupp, Jefferson Mason

Trupp, Jefferson Mason is an sole proprietor health care provider with primary practice located at 2900 S Highway 77 , Lynn Haven FL 32444-5612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Trupp, Jefferson Mason can be contacted via phone (850) 481-1687.

Contact Information

Primary practice address
2900 S Highway 77 Lynn Haven FL 32444-5612
Phone: (850) 481-1687
Fax: (850) 640-0761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME40682 Florida

Profile Details

NPI number 1871552638
LBN Legal business name Trupp, Jefferson Mason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Mar 17th, 2018 - about 7 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 1871552638 NPPES
Florida MEDICAID 266076800
Florida MEDICAID 000014577

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