Copeland, Jack Andrew

Copeland, Jack Andrew is an sole proprietor health care provider with primary practice located at 1010 Spruce St , Espanola NM 87532-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Copeland, Jack Andrew can be contacted via phone (505) 986-8468.

Contact Information

Primary practice address
1010 Spruce St Espanola NM 87532-3456
Phone: (505) 986-8468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 97-213 New Mexico

Profile Details

NPI number 1780657841
LBN Legal business name Copeland, Jack Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Jan 25th, 2010 - about 14 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.

Request for update

Popular Providers