Koupal, Robert

Koupal, Robert is an individual health care provider with primary practice located at 2102 E 38Th St , Davenport IA 52807-1135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Koupal, Robert can be contacted via phone (563) 359-4049.

Contact Information

Primary practice address
2102 E 38Th St Davenport IA 52807-1135
Phone: (563) 359-4049
Fax: (563) 359-4069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149006072 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00529 Iowa

Profile Details

NPI number 1174516991
LBN Legal business name Koupal, Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Apr 22nd, 2013 - about 11 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 1174516991 NPPES
Illinois Other 99862 BLUE CROSS IOWA IL NUMBER
Illinois Other 34752 BLUE CROSS IOWA IL NUMBER
Illinois Other 2216745 BLUE CROSS IOWA IL NUMBER
Illinois MEDICAID 0582221 BLUE CROSS IOWA IL NUMBER
Illinois Other IL0199 BLUE CROSS IOWA IL NUMBER
Illinois Other 149006072 BLUE CROSS IOWA IL NUMBER
Illinois MEDICAID 1582221 BLUE CROSS IOWA IL NUMBER

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