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Contact Information

RICHARD T COPPOLETTI, MD
4320 MORSAY DR
ROCKFORD, IL61107-4877
 Phone: 815-399-7000
 Fax: 815-399-7061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RICHARD T COPPOLETTI · (Male)

NPI # 1215982822
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 07/01/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G22942
  • IL License # 036063584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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