Coppock, Dagan Edrick

Coppock, Dagan Edrick is an sole proprietor health care provider with primary practice located at 1427 Vine St , Philadelphia PA 19102-1031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Coppock, Dagan Edrick can be contacted via phone (215) 762-2530.

Contact Information

Primary practice address
1427 Vine St Philadelphia PA 19102-1031
Phone: (215) 762-2530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD455203 Pennsylvania
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD455203 Pennsylvania

Profile Details

NPI number 1982886750
LBN Legal business name Coppock, Dagan Edrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2007
Last updated Dec 2nd, 2019 - 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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