Kopchick, John Harrison
Kopchick, John Harrison is an individual health care provider with primary practice located at 2240 Teal Ct Se , Grand Rapids MI 49546-7939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kopchick, John Harrison can be contacted via phone (616) 635-1220.Contact Information
Primary practice address
2240 Teal Ct Se
Grand Rapids MI 49546-7939
Phone: (616) 635-1220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 58797 | Minnesota |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301043886 | Michigan |
Profile Details
| NPI number | 1467497495 |
|---|---|
| LBN Legal business name | Kopchick, John Harrison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1467497495 | NPPES |
| Michigan | Other | 3404100631 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 900002217 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 104135289 | BLUE CROSS BLUE SHIELD |
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