Individual
DR. DONALD ALLEN TUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1529 WALNUT ST, COSHOCTON, OH 43812-2250
(740) 622-8400
(740) 622-8437
Mailing address
PO BOX 728, COSHOCTON, OH 43812-0728
(740) 622-8400
(740) 622-8437
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118491
ANTHEM / BLUE CROSS
OH
01
—
31-1118753
FEDERAL TAX ID
OH
05
—
557035
—
OH
01
—
P00260813
RAILROAD MEDICARE
OH
Enumeration date
03/20/2006
Last updated
04/07/2016
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