Koeppen, Ross M
Koeppen, Ross M is an sole proprietor health care provider with primary practice located at 1671 Main St Ste B , Buda TX 78610-9732. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Koeppen, Ross M can be contacted via phone (512) 295-5777.Contact Information
Primary practice address
1671 Main St Ste B
Buda TX 78610-9732
Phone: (512) 295-5777
Fax: (512) 295-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 25123 | Texas |
Profile Details
| NPI number | 1871790964 |
|---|---|
| LBN Legal business name | Koeppen, Ross M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Apr 21st, 2015 - about 9 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 | 1871790964 | NPPES |
| Texas | MEDICAID | 213024701 |
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