| Jason A Rupeka D O Llc | |
|
2219 E Market St Warren OH 44483-6105 | |
| (330) 392-5800 | |
| (330) 392-6993 |
| Full Name | Jason A Rupeka D O Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2219 E Market St, Warren, Ohio |
| Authorized Official Name and Position | Jason A Rupeka (SOLE MEMBER) |
| Authorized Official Contact | 3303925800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Rupeka D O Llc 2219 E Market St Warren OH 44483-6105 Ph: (330) 392-5800 | Jason A Rupeka D O Llc 2219 E Market St Warren OH 44483-6105 Ph: (330) 392-5800 |
| NPI Number | 1104080753 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104080753 | NPI | - | NPPES |
| 1942361928 | Other | INDIVIDUAL NPI | |
| 2704943 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-008796 (Ohio) | Primary |
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