Coplin Reynoso, Rafael Eugenio
Coplin Reynoso, Rafael Eugenio is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Coplin Reynoso, Rafael Eugenio can be contacted via phone (701) 530-4777.Contact Information
Primary practice address
900 E Broadway Ave
Bismarck ND 58501-4520
Phone: (701) 530-4777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 45519 | Kentucky |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036155263 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036155263 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 45519 | Kentucky |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25875 | West Virginia |
Profile Details
| NPI number | 1427095702 |
|---|---|
| LBN Legal business name | Coplin Reynoso, Rafael Eugenio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 30th, 2022 - about 2 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 | 1427095702 | NPPES |
| Alabama | Other | 051529239 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | 110239640 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 7100213570 | BLUE CROSS BLUE SHIELD |
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