Healthcare Provider Details

I. General information

NPI: 1861451338
Provider Name (Legal Business Name): JOSEPH HOWARD RUPARD M D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HOWARD RUPARD M D

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

883 UNION STREET
SHELBYVILLE TN
37160-3108
US

IV. Provider business mailing address

883 UNION ST
SHELBYVILLE TN
37160-2607
US

V. Phone/Fax

Practice location:
  • Phone: 931-685-1145
  • Fax: 931-685-8014
Mailing address:
  • Phone: 931-685-1145
  • Fax: 931-685-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD024783
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: