John Paul Kopchak is a Medical in Petaluma, California. John Paul Kopchak practices all healthcare services and medical treatments related to Medical. The NPI Number for John Paul Kopchak is 1376699181. The last update date is 2010-09-03.
John Paul Kopchak's current location address is 179 Grevillia Dr, Petaluma, California. You can contact this provider via phone number 5104954585. The mailing address for John Paul Kopchak is 179 Grevillia Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Paul Kopchak |
|---|---|
| Address | 179 Grevillia Dr, Petaluma, California |
| Phone Number | 5104954585 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376699181 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 179 Grevillia Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949526111 |
| Phone Number | 5104954585 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA12753 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identifier code issued to John Paul Kopchak by the Centers for Medicare & Medicaid Services (CMS)?
The John Paul Kopchak has been assigned the NPI (National Provider Identifier) 1376699181. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of John Paul Kopchak?
The John Paul Kopchak is physically situated at 179 Grevillia Dr, in the city of Petaluma, state of CA, with the postal code 949526111.
What is John Paul Kopchak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Paul Kopchak is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376699181 to John Paul Kopchak?
The John Paul Kopchak received its 1376699181 assignment from the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the John Paul Kopchak's information last updated?
The John Paul Kopchak's information was last updated on 2010-09-03.