Coppola, Elena Catherine

Coppola, Elena Catherine is an sole proprietor health care provider with primary practice located at 560 W Mitchell St Suite 185, Petoskey MI 49770-2275. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Coppola, Elena Catherine can be contacted via phone (231) 487-3390.

Contact Information

Primary practice address
560 W Mitchell St Suite 185 Petoskey MI 49770-2275
Phone: (231) 487-3390
Fax: (231) 487-3578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5101017256 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101017256 Michigan

Profile Details

NPI number 1760689665
LBN Legal business name Coppola, Elena Catherine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Sep 26th, 2014 - about 10 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 1760689665 NPPES
Michigan MEDICAID 1760689665
Michigan Other N56640033

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