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Individual

CHRISTOPHER J COPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2855 SWEET FLAG WAY, STOW, OH 44224-5946
(330) 618-9944
(330) 677-0584
Mailing address
2855 SWEET FLAG WAY, STOW, OH 44224-5946
(330) 618-9944
(330) 677-0584

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-288668
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000316867
ANTHEM BCBS INDV NUMBER
OH
01
100153
KAISER PERMANENTE GROUP #
OH
01
120744
KAISER PERMANENTE INDV #
OH
01
2080224
UNITED HEALTHCARE GROUP #
OH
05
2454188
OH
01
34-0891295
EMPLOYER FEDERAL TAX ID #
OH
05
7091249
OH
01
730541
BUCKEYE COMMUNITY HLTH PL
OH
Enumeration date
05/04/2006
Last updated
04/21/2009
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