Coppola, Gregory W

Coppola, Gregory W is an individual health care provider with primary practice located at 5215 Peach St , Erie PA 16509-2419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Coppola, Gregory W can be contacted via phone (814) 866-8610.

Contact Information

Primary practice address
5215 Peach St Erie PA 16509-2419
Phone: (814) 866-8610
Fax: (814) 866-8614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS010713L Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS010713L Pennsylvania

Profile Details

NPI number 1124007125
LBN Legal business name Coppola, Gregory W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jan 4th, 2017 - about 8 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 1124007125 NPPES
Pennsylvania MEDICAID 0018041330009
Pennsylvania MEDICAID 0018041330011

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