Copoloff, Jeffrey Allan

Copoloff, Jeffrey Allan is an sole proprietor health care provider with primary practice located at 3811 E Bell Rd Suite 309, Phoenix AZ 85032-2138. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Copoloff, Jeffrey Allan can be contacted via phone (480) 420-0749.

Contact Information

Primary practice address
3811 E Bell Rd Suite 309 Phoenix AZ 85032-2138
Phone: (480) 420-0749
Fax: (480) 420-0732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0355 Arizona

Profile Details

NPI number 1164461802
LBN Legal business name Copoloff, Jeffrey Allan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Dec 20th, 2016 - about 9 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 1164461802 NPPES
Arizona MEDICAID 129181
Arizona Other 2Z1833
Arizona Other 6202669
Arizona Other AZ0195160
Arizona Other 113710768
Arizona Other 11178489
Arizona Other 6624646
Arizona Other 4496171

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