Koeppel, Elaine

Koeppel, Elaine is an individual health care provider with primary practice located at 884 Brighton Rd , Tonawanda NY 14150-8169. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koeppel, Elaine can be contacted via phone (716) 836-9460.

Contact Information

Primary practice address
884 Brighton Rd Tonawanda NY 14150-8169
Fax: (716) 836-9462
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R031940 New York

Profile Details

NPI number 1972679231
LBN Legal business name Koeppel, Elaine
Credentials LCSW R031940
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 15th, 2010 - about 14 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 1972679231 NPPES
New York MEDICAID 00R031940

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