Coppedge, Joseph Ryan

Coppedge, Joseph Ryan is an sole proprietor health care provider with primary practice located at 213 Lido Pl , Fullerton CA 92835-2517. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is his primary health care specialty. Coppedge, Joseph Ryan can be contacted via phone (910) 818-4507.

Contact Information

Primary practice address
213 Lido Pl Fullerton CA 92835-2517
Phone: (910) 818-4507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X New York
Dietary & Nutritional Service Providers / Nutritionist 133N00000X New York

Profile Details

NPI number 1780217257
LBN Legal business name Coppedge, Joseph Ryan
Credentials PN1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2020
Last updated Feb 12th, 2020 - about 5 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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