Kopp, Theodore

Kopp, Theodore is an sole proprietor health care provider with primary practice located at 6720 Grelot Road Suite A Suite 1B, Mobile AL 36695-2676. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kopp, Theodore can be contacted via phone (251) 633-5155.

Contact Information

Primary practice address
6720 Grelot Road Suite A Suite 1B Mobile AL 36695-2676
Phone: (251) 633-5155
Fax: (251) 633-5125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 30966 Alabama
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 30966 Alabama
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X 30966 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 30966 Alabama

Profile Details

NPI number 1437348711
LBN Legal business name Kopp, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Feb 4th, 2021 - about 4 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 1437348711 NPPES
Alabama Other 511-70139 BCBS OF AL
Alabama MEDICAID 182198 BCBS OF AL

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