Koptik, Peter C

Koptik, Peter C is an individual health care provider with primary practice located at 2332 Alpine Ave Nw , Grand Rapids MI 49544-1955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Koptik, Peter C can be contacted via phone (616) 391-6220.

Contact Information

Primary practice address
2332 Alpine Ave Nw Grand Rapids MI 49544-1955
Phone: (616) 391-6220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301044839 Michigan

Profile Details

NPI number 1093763252
LBN Legal business name Koptik, Peter C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093763252 NPPES
Michigan MEDICAID 4791880
Michigan Other 0104103392
Michigan MEDICAID 4791834
Michigan MEDICAID 4791843
Michigan Other 1598712390
Michigan MEDICAID 4791861
Michigan MEDICAID 4791870

Popular Providers