Kopp, David William
Kopp, David William is an individual health care provider with primary practice located at 420 Cross Keys Office Park , Fairport NY 14450-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kopp, David William can be contacted via phone (585) 223-4620.Contact Information
Primary practice address
420 Cross Keys Office Park
Fairport NY 14450-3506
Phone: (585) 223-4620
Fax: (585) 223-7447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 202063-1 | New York |
Profile Details
| NPI number | 1134198849 |
|---|---|
| LBN Legal business name | Kopp, David William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Aug 28th, 2022 - about 3 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 | 1134198849 | NPPES |
| Pennsylvania | MEDICAID | 0018028810001 |
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