Copeland, Vicki Denise

Copeland, Vicki Denise is an individual health care provider with primary practice located at 15351 W Bell Rd , Surprise AZ 85374-4580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Copeland, Vicki Denise can be contacted via phone (877) 809-5092.

Contact Information

Primary practice address
15351 W Bell Rd Surprise AZ 85374-4580
Phone: (877) 809-5092
Fax: (623) 815-9253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25587 Arizona

Profile Details

NPI number 1114917259
LBN Legal business name Copeland, Vicki Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Apr 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114917259 NPPES
Arizona MEDICAID 427204

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