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DR. JOHN KUPPER D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1063877280
Individual Registrant:DR. JOHN KUPPER D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2212 CAROL VIEW DR APT C302 CARDIFF BY THE SEA, CA 92007-1952 US
Tel: 949-303-3881 Fax: --
Tel: 949-303-3881 Fax: --
Contact information for business:
2212 CAROL VIEW DR APT C302 CARDIFF BY THE SEA, CA 92007-1952 US
Tel: 949-303-3881 Fax: --
Tel: 949-303-3881 Fax: --
Registration Information:
NPI: 1063877280
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | 33194 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
