Kopp, William K.

Kopp, William K. is an individual health care provider with primary practice located at 79 01 Broadway Room A1-9, Elmhurst NY 11373-1329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Kopp, William K. can be contacted via phone (718) 334-4952.

Contact Information

Primary practice address
79 01 Broadway Room A1-9 Elmhurst NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 024056 New York

Profile Details

NPI number 1518994268
LBN Legal business name Kopp, William K.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518994268 NPPES
New York MEDICAID 00287458

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