Kopp, Zachary
Kopp, Zachary is an sole proprietor health care provider with primary practice located at 405 Arrowhead Blvd Ste C , Jonesboro GA 30236-1254. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Kopp, Zachary can be contacted via phone (770) 742-0446.Contact Information
Primary practice address
405 Arrowhead Blvd Ste C
Jonesboro GA 30236-1254
Phone: (770) 742-0446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 77315 | Massachusetts |
Profile Details
| NPI number | 1720659386 |
|---|---|
| LBN Legal business name | Kopp, Zachary |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2021 |
| Last updated | Apr 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720659386 | NPPES |
| Massachusetts | Other | 77315 | COMMONWEALTH OF MASSACHUSETTS BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
| Massachusetts | Other | 14275454 | COMMONWEALTH OF MASSACHUSETTS BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
| Massachusetts | Other | 32219 | COMMONWEALTH OF MASSACHUSETTS BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
| Massachusetts | Other | SLP011526 | COMMONWEALTH OF MASSACHUSETTS BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
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