Coppola, Thomas R
Coppola, Thomas R is an individual health care provider with primary practice located at 3999 Dutchmans Ln Ste 7B , Louisville KY 40207-4742. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Coppola, Thomas R can be contacted via phone (502) 896-4711.Contact Information
Primary practice address
3999 Dutchmans Ln Ste 7B
Louisville KY 40207-4742
Phone: (502) 896-4711
Fax: (502) 896-4791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 04045 | Kentucky |
Profile Details
| NPI number | 1215297437 |
|---|---|
| LBN Legal business name | Coppola, Thomas R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | Apr 11th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215297437 | NPPES |
| Indiana | MEDICAID | 300007832 | |
| Indiana | Other | K250100 | |
| Indiana | Other | 000001101368 | |
| Indiana | MEDICAID | 7100487210 | |
| Indiana | Other | 230950 |
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