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:
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Health care specialties

SpecialtyCodeLicense #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 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 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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