Coplen, Douglas E

Coplen, Douglas E is an individual health care provider with primary practice located at 1 Childrens Pl Div Surg Urology Ped, Ste 2A, Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Coplen, Douglas E can be contacted via phone (314) 454-6034.

Contact Information

Primary practice address
1 Childrens Pl Div Surg Urology Ped, Ste 2A Saint Louis MO 63110-1002
Phone: (314) 454-6034
Fax: (314) 454-2876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 105433 Missouri

Profile Details

NPI number 1972529295
LBN Legal business name Coplen, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - about 2 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 1972529295 NPPES
Missouri MEDICAID 206977308

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