Provider Demographics
NPI:1255384087
Name:COPPLE, SHEILA ANN (DO)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ANN
Last Name:COPPLE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:NORTH MEDICAL OFFICE BUILDING
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-203-7050
Mailing Address - Fax:970-203-7055
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:NORTH MEDICAL OFFICE BUILDING
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-203-7050
Practice Address - Fax:970-203-7055
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2016-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO49394207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO87524341Medicaid
COP00944657OtherMEDICARE RAILROAD CARRIER PTAN
CO87524341Medicaid