Kopack, John Allen

Kopack, John Allen is an sole proprietor health care provider with primary practice located at 31288 Electric Ave , Nuevo CA 92567-9289. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Kopack, John Allen can be contacted via phone (760) 216-3216.

Contact Information

Primary practice address
31288 Electric Ave Nuevo CA 92567-9289
Phone: (760) 216-3216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 94662 California

Profile Details

NPI number 1033984968
LBN Legal business name Kopack, John Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 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.

Request for update

Popular Providers