Kopacz, Marcia
Kopacz, Marcia is an individual health care provider with primary practice located at 32270 Telegraph Rd Ste 240, Bingham Farms MI 48025-2456. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kopacz, Marcia can be contacted via phone (248) 593-1717.Contact Information
Primary practice address
32270 Telegraph Rd Ste 240
Bingham Farms MI 48025-2456
Phone: (248) 593-1717
Fax: (248) 593-1711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 4704088147 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704088147 | Michigan |
Profile Details
| NPI number | 1366512634 |
|---|---|
| LBN Legal business name | Kopacz, Marcia |
| Credentials | BSN,MSN,CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Feb 20th, 2020 - about 6 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 | 1366512634 | NPPES |
| Michigan | Other | 5008605430 | BCBS PROVIDER ID |
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