Provider Demographics
NPI:1902145170
Name:RUPPE, JOHN H
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:H
Last Name:RUPPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4605
Mailing Address - Country:US
Mailing Address - Phone:412-692-0672
Mailing Address - Fax:
Practice Address - Street 1:109 BLUE RIDGE DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-4605
Practice Address - Country:US
Practice Address - Phone:412-692-0672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management