Individual
MR. MICHAEL JAMES RUPERT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
7099 WOODS DR, NEWBURGH, IN 47630-1809
(812) 573-9595
(812) 853-5238
Mailing address
7099 WOODS DR, NEWBURGH, IN 47630-1809
(812) 573-9595
(812) 853-5238
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA0505408
IN
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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