Individual
CHRISTOPHER M COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 W LANE AVE, SUITE D, COLUMBUS, OH 43221-3538
(614) 457-4827
(614) 457-4832
Mailing address
1315 W LANE AVE, SUITE D, COLUMBUS, OH 43221-3538
(614) 457-4827
(614) 457-4832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35047257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376723
ANTHEM
OH
01
—
16001157
RAILROAD MEDICARE PROVIDER NUMBER
OH
01
—
20130820028
CARESOURCE
OH
01
—
2586296
MEDICAID GROUP NUMBER
OH
01
—
DE1422
RR MEDICARE GROUP NUMBER
OH
Enumeration date
10/11/2006
Last updated
05/22/2008
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