Coppelli, Luis

Coppelli, Luis is an individual health care provider with primary practice located at 708 Coeur D'Alene , Payson AZ 85541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Coppelli, Luis can be contacted via phone (928) 474-5259.

Contact Information

Primary practice address
708 Coeur D'Alene Payson AZ 85541
Phone: (928) 474-5259
Fax: (928) 472-8832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9535 Arizona

Profile Details

NPI number 1518936939
LBN Legal business name Coppelli, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 17th, 2008 - about 17 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 1518936939 NPPES
Arizona MEDICAID 219726

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