Individual provider · Type 1 NPI
Ethan Leroy Koopman
Student in an Organized Health Care Education/Training Program · Colton, SD
NPI number
1215850706
Active
Practice location
205 E 7th St
Colton, SD 57018-2297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1215850706
Ethan Leroy Koopman's National Provider Identifier is 1215850706, issued on Aug 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colton, SD. The record was last updated on Aug 1, 2026.