Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35039570C | OH |
N | 207PE0004X | Emergency Medical Services | 35.039570 | OH |
NPI | 1134116239 |
---|---|
Provider Name | Lewis William Coppel JR. |
First Address | New Albany, OH 43054-8573 |
Second Address | New Albany, OH 43054-8573 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 31/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C01774 | (02) |