Cooper, Amanda S.
Cooper, Amanda S. is an individual health care provider with primary practice located at 8100 Ravines Edge Ct Ste 100 , Columbus OH 43235-5426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Cooper, Amanda S. can be contacted via phone (614) 488-5090.Contact Information
Primary practice address
8100 Ravines Edge Ct Ste 100
Columbus OH 43235-5426
Phone: (614) 488-5090
Fax: (614) 845-5216
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 35.090294 | Ohio |
Profile Details
NPI number | 1619049459 |
---|---|
LBN Legal business name | Cooper, Amanda S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2006 |
Last updated | Mar 30th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619049459 | NPPES |
Ohio | Other | P00418673 | RR MEDICARE |
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