Provider Demographics
NPI:1871807537
Name:KRUPINSKI, BOBBY JOE (CRTT/RCP)
Entity type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:JOE
Last Name:KRUPINSKI
Suffix:
Gender:M
Credentials:CRTT/RCP
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Mailing Address - Street 1:101 GREENSTICK WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-1338
Mailing Address - Country:US
Mailing Address - Phone:614-917-9672
Mailing Address - Fax:740-967-0395
Practice Address - Street 1:101 GREENSTICK WAY
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-1338
Practice Address - Country:US
Practice Address - Phone:614-917-9672
Practice Address - Fax:740-967-0395
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH91782278P1004X
WVLRTC010542278P1004X
PAYMOO4533L2278P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics