Copeland, Cary Lewis

Copeland, Cary Lewis is an individual health care provider with primary practice located at 4260 Glendale Milford Rd Suite 103, Blue Ash OH 45242-3704. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Copeland, Cary Lewis can be contacted via phone (513) 769-4408.

Contact Information

Primary practice address
4260 Glendale Milford Rd Suite 103 Blue Ash OH 45242-3704
Phone: (513) 769-4408
Fax: (513) 769-4578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36-002638 Ohio

Profile Details

NPI number 1679558258
LBN Legal business name Copeland, Cary Lewis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679558258 NPPES
Ohio Other 000000250229 ANTHEM
Ohio MEDICAID 0908058 ANTHEM
Ohio Other 480034608 ANTHEM

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