Frank T Coppolino Jr., CP
Individual provider Active NPI Prosthetist · Imperial, MO
NPI 1972803773 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1972803773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- Practice address
- 5425 Regency Woods MNR
Imperial, MO 63052-1971 - Phone
- (812) 589-2069
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Yes |
Addresses
Primary practice location
5425 Regency Woods MNR
Imperial, MO 63052-1971
Mailing address
5425 Regency Woods MNR
Imperial, MO 63052-1971
Phone (812) 589-2069
Other providers in Imperial, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.