Kopp, James R

Kopp, James R is an sole proprietor health care provider with primary practice located at 1902 4Th St Ste 3 , La Grande OR 97850-2558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kopp, James R can be contacted via phone (541) 963-9843.

Contact Information

Primary practice address
1902 4Th St Ste 3 La Grande OR 97850-2558
Fax: (541) 963-8746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD09796 Oregon

Profile Details

NPI number 1750472304
LBN Legal business name Kopp, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jun 16th, 2014 - about 10 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 1750472304 NPPES
Oregon Other 022801000 BCBSO
Oregon MEDICAID 281394 BCBSO

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