Copeland, Katie E
Copeland, Katie E is an individual health care provider with primary practice located at 3277 E Louise Dr Suite 200, Meridian ID 83642-9351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Copeland, Katie E can be contacted via phone (208) 468-5930.Contact Information
Primary practice address
3277 E Louise Dr Suite 200
Meridian ID 83642-9351
Phone: (208) 468-5930
Fax: (208) 463-3044
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M8753 | Idaho |
Profile Details
NPI number | 1447240437 |
---|---|
LBN Legal business name | Copeland, Katie E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | Jul 26th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447240437 | NPPES |
Idaho | MEDICAID | 806551600 | |
Idaho | Other | 370022701 | |
Idaho | Other | 53199 | |
Idaho | Other | 000010142776 | |
Idaho | Other | 806567400 |
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