Kopp, Benjamin Taylor
Kopp, Benjamin Taylor is an individual health care provider with primary practice located at 1400 Tullie Rd Ne , Atlanta GA 30329-2309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Kopp, Benjamin Taylor can be contacted via phone (404) 785-5830.Contact Information
Primary practice address
1400 Tullie Rd Ne
Atlanta GA 30329-2309
Phone: (404) 785-5830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35-091073 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 35-091073 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 92723 | Georgia |
Profile Details
| NPI number | 1780845198 |
|---|---|
| LBN Legal business name | Kopp, Benjamin Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Sep 23rd, 2022 - about 2 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 | 1780845198 | NPPES |
| Ohio | MEDICAID | 3101235 |
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