Koppman, John S

Koppman, John S is an individual health care provider with primary practice located at 201 Health Park Blvd Suite 103, St Augustine FL 32086-5796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Koppman, John S can be contacted via phone (904) 827-0093.

Contact Information

Primary practice address
201 Health Park Blvd Suite 103 St Augustine FL 32086-5796
Phone: (904) 827-0093
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0093820 Florida

Profile Details

NPI number 1952364713
LBN Legal business name Koppman, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 15th, 2014 - about 10 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 1952364713 NPPES
Florida MEDICAID 273240800

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