Coppage, Abram T
Coppage, Abram T is an sole proprietor health care provider with primary practice located at 1401 River Rd , Greenwood MS 38930-4030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Coppage, Abram T can be contacted via phone (662) 459-2613.Contact Information
Primary practice address
1401 River Rd
Greenwood MS 38930-4030
Phone: (662) 459-2613
Fax: (662) 459-1159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 18762 | Mississippi |
Profile Details
| NPI number | 1518007459 |
|---|---|
| LBN Legal business name | Coppage, Abram T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1518007459 | NPPES |
| Mississippi | MEDICAID | 01252723 | |
| Mississippi | MEDICAID | 09015650 |
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