Koopmann, Charles F

Koopmann, Charles F is an individual health care provider with primary practice located at 1500 East Medical Center Drive 2Nd Floor Taubman Ctr Recp G, Ann Arbor MI 48109-5312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Koopmann, Charles F can be contacted via phone (734) 936-5730.

Contact Information

Primary practice address
1500 East Medical Center Drive 2Nd Floor Taubman Ctr Recp G Ann Arbor MI 48109-5312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301050068 Michigan
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 4301050068 Michigan

Profile Details

NPI number 1992760144
LBN Legal business name Koopmann, Charles F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 29th, 2012 - about 12 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 1992760144 NPPES
Michigan Other 0811423 BCBSM
Michigan MEDICAID 1741795 BCBSM

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