1306008214 NPI number — DUPION INDUSTRIES, LLC

Table of content: (NPI 1306008214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306008214 NPI number — DUPION INDUSTRIES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUPION INDUSTRIES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306008214
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 COURTYARD XING
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45249-2109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-531-2081
Provider Business Mailing Address Fax Number:
513-531-3682

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4555 LAKE FOREST DR
Provider Second Line Business Practice Location Address:
SUITE 650
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45242-3785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-563-3599
Provider Business Practice Location Address Fax Number:
513-531-3682
Provider Enumeration Date:
07/01/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KOPIN
Authorized Official First Name:
SHELDON
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
513-531-2081

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1724790 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)