Coppola, Carl D
Coppola, Carl D is an sole proprietor health care provider with primary practice located at 3950 Kresge Way Ste 402 , Louisville KY 40207-5914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Coppola, Carl D can be contacted via phone (502) 893-3683.Contact Information
Primary practice address
3950 Kresge Way Ste 402
Louisville KY 40207-5914
Phone: (502) 893-3683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 28995 | Kentucky |
Profile Details
| NPI number | 1023006681 |
|---|---|
| LBN Legal business name | Coppola, Carl D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Apr 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023006681 | NPPES |
| Kentucky | Other | 2862 | BCBS |
| Kentucky | MEDICAID | 64289952 | BCBS |
| Kentucky | Other | 000000045699 | BCBS |
| Kentucky | Other | 1052620 | BCBS |
| Kentucky | Other | 040011473 | BCBS |
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