Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC001263L | PA |
N | 111NN1001X | Nutrition | DC001263L | PA |
NPI | 1407943210 |
---|---|
Provider Name | Dr. Arthur Laverne Copp |
First Address | New Freedom, PA 17349-0028 |
Second Address | New Freedom, PA 17349-9747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 01/12/2011 |