Kopplin, Laura Jean

Kopplin, Laura Jean is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kopplin, Laura Jean can be contacted via phone (608) 263-6070.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792
Phone: (608) 263-6070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD171856 Oregon
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 66019 Wisconsin

Profile Details

NPI number 1003106378
LBN Legal business name Kopplin, Laura Jean
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Jan 15th, 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 1003106378 NPPES
Wisconsin MEDICAID 1003106378

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