Koppelman, Ann Simon
Koppelman, Ann Simon is an sole proprietor health care provider with primary practice located at 213 Xenia Ave , Yellow Springs OH 45387-1874. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koppelman, Ann Simon can be contacted via phone (937) 767-7044.Contact Information
Primary practice address
213 Xenia Ave
Yellow Springs OH 45387-1874
Phone: (937) 767-7044
Fax: (937) 767-5066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4319 | Ohio |
Profile Details
| NPI number | 1306994793 |
|---|---|
| LBN Legal business name | Koppelman, Ann Simon |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306994793 | NPPES |
| Ohio | MEDICAID | 0817736 |
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