Koepke, Ronald Paul
Koepke, Ronald Paul is an individual health care provider with primary practice located at 2516 Broadmoor Blvd , Monroe LA 71201-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Koepke, Ronald Paul can be contacted via phone (318) 322-1161.Contact Information
Primary practice address
2516 Broadmoor Blvd
Monroe LA 71201-2988
Phone: (318) 322-1161
Fax: (318) 322-9313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 012929 | Louisiana |
Profile Details
NPI number | 1053389858 |
---|---|
LBN Legal business name | Koepke, Ronald Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Sep 12th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053389858 | NPPES |
Louisiana | Other | 100471 | VANTAGE HEALTH PLAN, INC |
Louisiana | MEDICAID | 1191469 | VANTAGE HEALTH PLAN, INC |
Louisiana | Other | 012929 | VANTAGE HEALTH PLAN, INC |
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