Kopacz, Dana Marie
Kopacz, Dana Marie is an individual health care provider with primary practice located at 15125 22 Mile Rd , Shelby Township MI 48315-4406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kopacz, Dana Marie can be contacted via phone (586) 532-0599.Contact Information
Primary practice address
15125 22 Mile Rd
Shelby Township MI 48315-4406
Phone: (586) 532-0599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 4704300032 | Michigan |
Profile Details
| NPI number | 1942847116 |
|---|---|
| LBN Legal business name | Kopacz, Dana Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2019 |
| Last updated | Dec 5th, 2019 - about 5 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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