Coppola, Angelo G

Coppola, Angelo G is an individual health care provider with primary practice located at 10915 N Rodney Parham Rd , Little Rock AR 72212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Coppola, Angelo G can be contacted via phone (501) 747-2828.

Contact Information

Primary practice address
10915 N Rodney Parham Rd Little Rock AR 72212
Fax: (501) 406-9265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X E0654 Arkansas

Profile Details

NPI number 1528003977
LBN Legal business name Coppola, Angelo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jan 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528003977 NPPES
Arkansas MEDICAID 131799001

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