Kopp, John D
Kopp, John D is an individual health care provider with primary practice located at 6 Executive Park Dr , Albany NY 12203-3791. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kopp, John D can be contacted via phone (518) 482-9111.Contact Information
Primary practice address
6 Executive Park Dr
Albany NY 12203-3791
Phone: (518) 482-9111
Fax: (518) 482-6142
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 184904 | New York |
Profile Details
NPI number | 1184696171 |
---|---|
LBN Legal business name | Kopp, John D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Feb 28th, 2008 - about 17 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 | 1184696171 | NPPES |
New York | MEDICAID | 01264635 | |
New York | Other | 5093468 | |
New York | Other | 03G682 | |
New York | Other | 10001093 | |
New York | Other | 04147 | |
New York | Other | 0600071 | |
New York | Other | 000405427004 | |
New York | Other | 040426005185 | |
New York | Other | 11207 |
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