Claudia R. Coplein, DO, MPH, MBA, CPE

Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · West Hartford, CT

NPI 1851554844 · NPPES record last updated Jan 10, 2011

Key facts

NPI
1851554844
Entity type
Individual (NPI type 1)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
License
000467 (CT)
Practice address
345 N Main St
Ideal Image - Suite 200
West Hartford, CT 06117-2515
Phone
(860) 236-1300
Fax
(866) 782-8381
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
000467CTMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 000467 CT Yes

Addresses

Primary practice location

345 N Main St
Ideal Image - Suite 200
West Hartford, CT 06117-2515

Mailing address

345 N Main St
Ideal Image - Suite 200
West Hartford, CT 06117-2515

Other providers in West Hartford, CT

All providers in West Hartford, CT · Preventive Medicine/Occupational Environmental Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.