Copley, Susan Kathleen

Copley, Susan Kathleen is an sole proprietor health care provider with primary practice located at 201 Pine St Nw , Hartselle AL 35640-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Copley, Susan Kathleen can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
201 Pine St Nw Hartselle AL 35640-2309
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18715 Alabama

Profile Details

NPI number 1689627556
LBN Legal business name Copley, Susan Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Apr 10th, 2008 - about 17 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 1689627556 NPPES
Alabama Other 51555571 BLUE CROSS
Alabama MEDICAID 051552917 BLUE CROSS
Alabama MEDICAID 009943023 BLUE CROSS

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