Robert Koupal is a Clinical in Davenport, Iowa. Robert Koupal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Koupal is 1174516991. The last update date is 2013-04-22.
Robert Koupal's current location address is 2102 E 38th St, Davenport, Iowa. You can contact this provider via phone number 5633594049. The mailing address for Robert Koupal is 2102 E 38th St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Koupal |
|---|---|
| Address | 2102 E 38th St, Davenport, Iowa |
| Phone Number | 5633594049 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174516991 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2013-04-22 |
Provider Mailing Address Detail
| Address | 2102 E 38th St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528071135 |
| Phone Number | 5633594049 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149006072 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99862 | IL | BLUE CROSS IOWA IL NUMBER | |
| 34752 | IA | BLUE CROSS IOWA IA NUMBER | |
| 2216745 | IL | FIRST HEALTH AND CCN NUMB | |
| 582221 | IL | -- | |
| IL0199 | IL | JOHN DEERE NUMBER | |
| 149006072 | IL | BLUE CROSS ILLINOIS NUMBE | |
| 1582221 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Koupal by the Centers for Medicare & Medicaid Services?
The Robert Koupal has been assigned the NPI (National Provider Identifier) 1174516991. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Koupal's physical address?
The Robert Koupal is physically located at 2102 E 38Th St, in the city of Davenport, IA, with the postal code 528071135.
What is Robert Koupal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Koupal is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174516991 to Robert Koupal?
The Robert Koupal received its 1174516991 assignment from the Centers for Medicare & Medicaid Services on 2005-08-26.
As of what date were the Robert Koupal's details last updated?
The information pertaining to the Robert Koupal, including its address, specialty, and other details, was most recently updated on 2013-04-22.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM