Coppock, Michael Shawn
Coppock, Michael Shawn is an sole proprietor health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114-7408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Coppock, Michael Shawn can be contacted via phone (405) 715-3610.Contact Information
Primary practice address
9600 Broadway Ext
Oklahoma City OK 73114-7408
Phone: (405) 715-3610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 212739 | Oklahoma |
Profile Details
| NPI number | 1104516210 |
|---|---|
| LBN Legal business name | Coppock, Michael Shawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2023 |
| Last updated | May 11th, 2023 - about 3 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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