Coppage, Jeffrey Miles

Coppage, Jeffrey Miles is an individual health care provider with primary practice located at N15W28300 Golf Rd , Pewaukee WI 53072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Coppage, Jeffrey Miles can be contacted via phone (262) 303-5055.

Contact Information

Primary practice address
N15W28300 Golf Rd Pewaukee WI 53072
Fax: (262) 303-5057
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 66308 Wisconsin

Profile Details

NPI number 1528382413
LBN Legal business name Coppage, Jeffrey Miles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2010
Last updated Oct 8th, 2018 - about 6 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 1528382413 NPPES
Wisconsin MEDICAID 1528382413

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