Koepp, Peter Christopher

Koepp, Peter Christopher is an individual health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-7324. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Koepp, Peter Christopher can be contacted via phone (910) 396-7775.

Contact Information

Primary practice address
2817 Reilly St Fort Bragg NC 28310-7324
Phone: (910) 396-7775
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA05201 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-02309 North Carolina

Profile Details

NPI number 1497867907
LBN Legal business name Koepp, Peter Christopher
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 9th, 2011 - about 15 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 1497867907 NPPES
Texas Other 8Y0987 BLUE CROSS
Texas MEDICAID 186438101 BLUE CROSS

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