Coppock, Raymond

Coppock, Raymond is an sole proprietor health care provider with primary practice located at 333 Shore Ave , Kotzebue AK 99752-9800. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Coppock, Raymond can be contacted via phone (907) 442-7640.

Contact Information

Primary practice address
333 Shore Ave Kotzebue AK 99752-9800
Phone: (907) 442-7640
Fax: (907) 442-7749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1331 Alaska

Profile Details

NPI number 1972716959
LBN Legal business name Coppock, Raymond
Credentials CDCII, BHAII
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jun 23rd, 2020 - about 4 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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