Carolyn S Koppenol in Hillman - Psychiatry
Carolyn S Koppenol - NPI 1003964255
Carolyn S Koppenol is a Psychiatry in Hillman, Michigan. Carolyn S Koppenol practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Carolyn S Koppenol is 1003964255. The last update date is 2012-10-09.
Carolyn S Koppenol's current location address is 15774 State Street, Hillman, Michigan. You can contact this provider via phone number 9897424583 and fax number 9897422183. The mailing address for Carolyn S Koppenol is 15774 State Street, Hillman, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn S Koppenol |
|---|---|
| Address | 15774 State Street, Hillman, Michigan |
| Phone Number | 9897424583 |
| Fax Number | 9897422183 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003964255 |
|---|---|
| Provider Enumeration Date | 2007-01-06 |
| Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
| Address | 15774 State Street |
|---|---|
| City | Hillman |
| State | Michigan (MI) |
| Post Code | 497460427 |
| Phone Number | 9897424583 |
| Fax Number | 9897422183 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 4301046030 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK046030 | MI | STATE LICENSE NUMBER | |
| 5104939 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carolyn S Koppenol by the Centers for Medicare & Medicaid Services?
The Carolyn S Koppenol has been assigned the NPI (National Provider Identifier) 1003964255. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carolyn S Koppenol?
The Carolyn S Koppenol is physically situated at 15774 State Street, in the city of Hillman, state of MI, with the postal code 497460427.
What is the Carolyn S Koppenol's specialty and taxonomy code?
The Carolyn S Koppenol's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003964255 to Carolyn S Koppenol?
The Carolyn S Koppenol received its 1003964255 assignment from the Centers for Medicare & Medicaid Services on 2007-01-06.
When was the information regarding Carolyn S Koppenol, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carolyn S Koppenol, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-09.
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