Provider Demographics
NPI:1457493322
Name:TURPEN, THOMAS ELLERY (DOM, RAC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ELLERY
Last Name:TURPEN
Suffix:
Gender:M
Credentials:DOM, RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:510 BEAVERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3319
Mailing Address - Country:US
Mailing Address - Phone:614-451-7246
Mailing Address - Fax:614-451-7248
Practice Address - Street 1:3360 TREMONT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2111
Practice Address - Country:US
Practice Address - Phone:614-451-7246
Practice Address - Fax:614-451-7248
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000003171100000X
NM561171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist