Kopp, Steve G

Kopp, Steve G is an individual health care provider with primary practice located at 4455 E 56Th St , Davenport IA 52807-2995. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kopp, Steve G can be contacted via phone (563) 355-2577.

Contact Information

Primary practice address
4455 E 56Th St Davenport IA 52807-2995
Phone: (563) 355-2577
Fax: (563) 355-4015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0023 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00807 Iowa

Profile Details

NPI number 1205824935
LBN Legal business name Kopp, Steve G
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 7th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205824935 NPPES
Idaho MEDICAID 1083568
Idaho Other IA01K7

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