MEDICARE: DR. DANIEL LOUIS KOPELMAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2660	MA

General Provider Information

NPI Number	:	1265564736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL LOUIS KOPELMAN DC

Provider Business Mailing Address
First Line	:	37 HARTWELL AVE
Second Line	:
City	:	LITTLETON
State	:	MA
Zip	:	01460-6201
Country	:	US
Telephone Number	:	617-388-6462
Fax Number	:	978-264-4462

Provider Business Practice Location Address
First Line	:	411 MASSACHUSETTS AVE
Second Line	:	SUITE 102
City	:	ACTON
State	:	MA
Zip	:	01720-3739
Country	:	US
Telephone Number	:	978-263-0008
Fax Number	:	978-264-4462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2007
Last Update Date	:	07/08/2007

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