Lent Koop, Daniel Madison
Lent Koop, Daniel Madison is an individual health care provider with primary practice located at 3001 Broadmoor Blvd Ne , Rio Rancho NM 87144-2100. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Lent Koop, Daniel Madison can be contacted via phone (505) 994-7131.Contact Information
Primary practice address
3001 Broadmoor Blvd Ne
Rio Rancho NM 87144-2100
Phone: (505) 994-7131
Fax: (505) 994-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | 1061100674 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4129 | New Mexico |
Profile Details
| NPI number | 1982618898 |
|---|---|
| LBN Legal business name | Lent Koop, Daniel Madison |
| Credentials | MPT, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jan 28th, 2013 - about 12 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 | 1982618898 | NPPES |
| New Mexico | Other | 4129 | PT LICENSE |
| New Mexico | Other | 650001175 | PT LICENSE |
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