Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Leroy Koopman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215850706

Ethan Leroy Koopman is a Student in an Organized Health Care Education/Training Program in Colton, South Dakota. Licensed in South Dakota. Registered with an NPI since 2026.

Licensed in
SD
In the registry since
2026

Practice location Address checks out

205 E 7th St
Colton, SD 57018-2297
Phone: (605) 291-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (SD)

Record details

NPI number1215850706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address205 E 7th St, Colton, SD 57018-2297