Kopacz, Maciej J

Kopacz, Maciej J is an individual health care provider with primary practice located at 15 E. Aububon Drive , Fresno CA 93720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kopacz, Maciej J can be contacted via phone (559) 433-8000.

Contact Information

Primary practice address
15 E. Aububon Drive Fresno CA 93720
Phone: (559) 433-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A30344 California

Profile Details

NPI number 1912948258
LBN Legal business name Kopacz, Maciej J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 18th, 2010 - about 16 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 1912948258 NPPES
California MEDICAID 00A303440

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