Provider Demographics
NPI:1942425756
Name:KOPELOVE, DAVID J (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:KOPELOVE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6708 WISCONSIN AVE
Mailing Address - Street 2:STE 206 3RD FLR
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5300
Mailing Address - Country:US
Mailing Address - Phone:301-654-0911
Mailing Address - Fax:301-654-1658
Practice Address - Street 1:6708 WISCONSIN AVE
Practice Address - Street 2:#206 3RD FLR
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5300
Practice Address - Country:US
Practice Address - Phone:301-654-0911
Practice Address - Fax:301-654-1658
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCS8310001OtherBCBS
MDLU65OtherBCBS
MDLU65OtherBCBS