Cooley, Oleg

Cooley, Oleg is an individual health care provider with primary practice located at 126 E Church St Ste 2100 , Somerset PA 15501-2271. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cooley, Oleg can be contacted via phone (814) 443-1281.

Contact Information

Primary practice address
126 E Church St Ste 2100 Somerset PA 15501-2271
Phone: (814) 443-1281
Fax: (814) 443-3214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA001256L Pennsylvania

Profile Details

NPI number 1780695684
LBN Legal business name Cooley, Oleg
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 11th, 2021 - about 4 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 1780695684 NPPES
Pennsylvania Other 001452375 BLUE SHIELD PROVIDER #

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