John Allen Kopack, is a
Massage Therapist based in Nuevo, California. John Allen Kopack is licensed to practice in California (license number 94662) and his current practice location is
31288 Electric Ave, Nuevo, California. He can be reached at his office (for appointments etc.) via phone at
(760) 216-3216.
NPI number for John Allen Kopack is 1033984968 and his current mailing address is 31288 Electric Ave, Nuevo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033984968.
Healthcare Provider's Profile
| Full Name | John Allen Kopack |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 31288 Electric Ave, Nuevo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033984968
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/21/2023
Medical Identifiers
Medical identifiers for John Allen Kopack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033984968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 94662 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Allen Kopack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
John Allen Kopack, 31288 Electric Ave, Nuevo, CA 92567-9289 Ph: (760) 216-3216 | John Allen Kopack, 31288 Electric Ave, Nuevo, CA 92567-9289 Ph: (760) 216-3216 |
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