Individual
MR. JOHANNES PETRUS DUPLESSIS
Active
Individual
MR. JOHANNES PETRUS DUPLESSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079NR
BCBS
NC
01
—
11458735
CAQH
NC
01
—
16536
BCBS NC
NC
01
—
2672919
CIGNA
NC
01
—
713168
UNITED HEALTHCARE
—
01
—
7999659
AETNA
NC
01
—
E2215
MEDCOST
NC
Enumeration date
03/06/2007
Last updated
01/14/2014
Update your record
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