Kopperud, Tracey Ann
Kopperud, Tracey Ann is an individual health care provider with primary practice located at 3520 E Louise Dr , Meridian ID 83642-6304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kopperud, Tracey Ann can be contacted via phone (208) 888-0909.Contact Information
Primary practice address
3520 E Louise Dr
Meridian ID 83642-6304
Phone: (208) 888-0909
Fax: (208) 888-5825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | O0690 | Idaho |
Profile Details
| NPI number | 1437194388 |
|---|---|
| LBN Legal business name | Kopperud, Tracey Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437194388 | NPPES |
| Iowa | Other | 21910 | WELLMARK, CLIVE OFFICE |
Popular Providers
-
Perron-Burdick, Misa
520 S Eagle Rd Ste 3209 , Meridian ID 83642-6356 -
Ross, Stuart Edward
3520 E Louise Dr , Meridian ID 83642-6304 -
Woods, Mary Frances F
2950 Magic View Dr. Ste 182, Meridian ID 83642-3560 -
Richards, Bronwyn
3520 E Louise Dr , Meridian ID 83642-6304 -
Hafer, Mary C
2971 E Copper Point Dr Ste # 125, Meridian ID 83642-5101 -
Katseanes, Davis T
520 S Eagle Rd Ste 2110, Meridian ID 83642-6351 -
Uranga, Rebecca Sue
3520 E Louise Dr , Meridian ID 83642-6304 -
Zakarian, Marianne L.
2536 N. Stokesberry Place , Meridian ID 83646