Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 001120141 | NC |
Y | 175L00000X | Homeopath |
NPI | 1316156581 |
---|---|
Provider Name | Becky Rose Rupert |
First Address | West Salem, OH 44287-9796 |
Second Address | West Salem, OH 44287-9796 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 18/07/2013 |