Koepsel, Jo S
Koepsel, Jo S is an sole proprietor health care provider with primary practice located at 5440 Old Brownsville Rd. , Corpus Christi TX 78417. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koepsel, Jo S can be contacted via phone (361) 452-1151.Contact Information
Primary practice address
5440 Old Brownsville Rd.
Corpus Christi TX 78417
Phone: (361) 452-1151
Fax: (361) 452-1517
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 232350 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 232350 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP105046 | Texas |
Profile Details
NPI number | 1104885086 |
---|---|
LBN Legal business name | Koepsel, Jo S |
Credentials | PMHWP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2006 |
Last updated | Nov 20th, 2019 - about 6 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 | 1104885086 | NPPES |
Texas | Other | 8H8660 | BC/BS OF TX |
Texas | MEDICAID | 038062801 | BC/BS OF TX |
Texas | MEDICAID | 038062802 | BC/BS OF TX |
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