Coppola, John
Coppola, John is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Coppola, John can be contacted via phone (203) 384-3075.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1528580123 |
|---|---|
| LBN Legal business name | Coppola, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2017 |
| Last updated | Jul 14th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528580123 | NPPES |
| Connecticut | Other | XGC0683M49824 | ANTHEM BLUE CROSS |
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