Tupper, Mary Beth

Tupper, Mary Beth is an individual health care provider with primary practice located at 7751 Byron Center Ave Sw Suite C, Byron Center MI 49315-8001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tupper, Mary Beth can be contacted via phone (616) 267-7668.

Contact Information

Primary practice address
7751 Byron Center Ave Sw Suite C Byron Center MI 49315-8001
Phone: (616) 267-7668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301043039 Michigan

Profile Details

NPI number 1396813044
LBN Legal business name Tupper, Mary Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 15th, 2011 - about 15 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 1396813044 NPPES
Michigan MEDICAID 4760711

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