Cooley, David Alan

Cooley, David Alan is an individual health care provider with primary practice located at 1003 Bellefontaine Ave Ste 100 , Lima OH 45804-1868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cooley, David Alan can be contacted via phone (419) 998-8234.

Contact Information

Primary practice address
1003 Bellefontaine Ave Ste 100 Lima OH 45804-1868
Phone: (419) 998-8234
Fax: (419) 998-8233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35049465 Ohio

Profile Details

NPI number 1528134582
LBN Legal business name Cooley, David Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528134582 NPPES
Other 341712408 TRICARE
Other 000000137184 TRICARE
MEDICAID 0859441 TRICARE
Other 341712408 TRICARE
Other CL1312 TRICARE

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