Ron L Kopitzke Pt, Dpt Ocs in Placerville - Specialist

Ron L Kopitzke Pt, Dpt Ocs - NPI 1821008236

Ron L Kopitzke Pt, Dpt Ocs is a Specialist in Placerville, California. Ron L Kopitzke Pt, Dpt Ocs practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ron L Kopitzke Pt, Dpt Ocs is 1821008236. The last update date is 2008-07-25.

Ron L Kopitzke Pt, Dpt Ocs's current location address is 4300 Golden Center Dr Ste B, Placerville, California. You can contact this provider via phone number 5303442045 and fax number 5306420794. The mailing address for Ron L Kopitzke Pt, Dpt Ocs is 4300 Golden Center Dr Ste B, Placerville, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ron L Kopitzke Pt, Dpt Ocs
Address 4300 Golden Center Dr Ste B, Placerville, California
Phone Number 5303442045
Fax Number 5306420794
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kopitzke L Ron
Credentials PT DPT OCS
Telephone Number 5303442045

NPI Number Detail

NPI Number 1821008236
Provider Enumeration Date 2006-08-08
Last Updated Date 2008-07-25

Provider Mailing Address Detail

Address 4300 Golden Center Dr Ste B
City Placerville
State California (CA)
Post Code 95667
Phone Number 5303442045
Fax Number 5306420794

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT106430
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OPT106430 PTAN

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FAQs about Ron L Kopitzke Pt, Dpt Ocs

What is the unique identifier code issued to Ron L Kopitzke Pt, Dpt Ocs by the Centers for Medicare & Medicaid Services?

The Ron L Kopitzke Pt, Dpt Ocs has been assigned the NPI (National Provider Identifier) 1821008236. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Ron L Kopitzke Pt, Dpt Ocs's facilities are geographically located?

The facilities of Ron L Kopitzke Pt, Dpt Ocs are physically situated at the following location: 4300 Golden Center Dr Ste B, Placerville, CA, 95667.

What is Ron L Kopitzke Pt, Dpt Ocs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ron L Kopitzke Pt, Dpt Ocs is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Ron L Kopitzke Pt, Dpt Ocs receive the assignment of its 1821008236 from the Centers for Medicare & Medicaid Services?

The Ron L Kopitzke Pt, Dpt Ocs was issued its 1821008236 by the Centers for Medicare & Medicaid Services on 2006-08-08.

When was the information pertaining to Ron L Kopitzke Pt, Dpt Ocs most recently updated or revised?

The details related to Ron L Kopitzke Pt, Dpt Ocs, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-25.

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