Copeland, Mark Isaac

Copeland, Mark Isaac is an individual health care provider with primary practice located at 460 Lanier Rd , Madison AL 35758-1866. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Copeland, Mark Isaac can be contacted via phone (256) 319-9000.

Contact Information

Primary practice address
460 Lanier Rd Madison AL 35758-1866
Fax:
Website:

Health care specialties

Profile Details

NPI number 1164487369
LBN Legal business name Copeland, Mark Isaac
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 15th, 2013 - about 11 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 1164487369 NPPES
Alabama Other 51529650 BCBS AL

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