Koppelman, Larry W
Koppelman, Larry W is an individual health care provider with primary practice located at 185 Hospital Dr , Warren PA 16365-4896. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Koppelman, Larry W can be contacted via phone (814) 723-1330.Contact Information
Primary practice address
185 Hospital Dr
Warren PA 16365-4896
Phone: (814) 723-1330
Fax: (814) 723-5744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013360 | Pennsylvania |
Profile Details
| NPI number | 1538248430 |
|---|---|
| LBN Legal business name | Koppelman, Larry W |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Sep 24th, 2009 - about 17 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 | 1538248430 | NPPES |
| Pennsylvania | Other | 334384 | BC/BS PROVIDER # |
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