Koop, Darryl Glen

Koop, Darryl Glen is an individual health care provider with primary practice located at 600 N Pickaway St , Circleville OH 43113-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koop, Darryl Glen can be contacted via phone (740) 474-2126.

Contact Information

Primary practice address
600 N Pickaway St Circleville OH 43113-2409
Fax: (740) 477-1022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35070336K Ohio

Profile Details

NPI number 1023068384
LBN Legal business name Koop, Darryl Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 11th, 2008 - about 18 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 1023068384 NPPES
Other P00120093 RR CIRCLEVILLE
Other 000000316757 RR CIRCLEVILLE
MEDICAID 2055289 RR CIRCLEVILLE

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