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Contact Information

RAYMOND COPPOCK, CDCII, BHAII
333 SHORE AVE
KOTZEBUE, AK99752-9800
 Phone: 907-442-7640
 Fax: 907-442-7749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for RAYMOND COPPOCK · (Male)

NPI Number 1972716959
Status Active
Credentials CDCII, BHAII
Entity Individual
Enumeration date 05/07/2007
Last updated 06/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 1331
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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