Kopp, Robert Walter
Kopp, Robert Walter is an sole proprietor health care provider with primary practice located at 39 Barkley Cir , Fort Myers FL 33907-7531. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Kopp, Robert Walter can be contacted via phone (239) 936-1616.Contact Information
Primary practice address
39 Barkley Cir
Fort Myers FL 33907-7531
Phone: (239) 936-1616
Fax: (239) 936-0837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME131112 | Florida |
Profile Details
| NPI number | 1487913794 |
|---|---|
| LBN Legal business name | Kopp, Robert Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2012 |
| Last updated | Jul 21st, 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 | 1487913794 | NPPES |
| Florida | Other | ITLYM | BCBS |
| Florida | Other | IZ699Z | BCBS |
| Florida | Other | 403947 | BCBS |
| Florida | Other | 8930791 | BCBS |
| Florida | Other | P988125 | BCBS |
| Florida | Other | 4186442 | BCBS |
| Florida | Other | P1056555 | BCBS |
| Florida | Other | QMP000005329965 | BCBS |
| Florida | MEDICAID | 020773400 | BCBS |
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