Organization
JASON A RUPEKA D O LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A RUPEKA D.O. (SOLE MEMBER)
(330) 392-5800
Entity
Organization
Contact information
Practice address
2219 E MARKET ST, WARREN, OH 44483-6105
(330) 392-5800
(330) 392-6993
Mailing address
2219 E MARKET ST, WARREN, OH 44483-6105
(330) 392-5800
(330) 392-6993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-008796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942361928
INDIVIDUAL NPI
—
05
—
2704943
—
OH
Enumeration date
07/14/2008
Last updated
07/14/2008
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