Individual
CHRISTOPHER M COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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