Cooper, Amy L.

Cooper, Amy L. is an individual health care provider with primary practice located at 100 E Idaho St , Boise ID 83712-6267. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Cooper, Amy L. can be contacted via phone (208) 381-4171.

Contact Information

Primary practice address
100 E Idaho St Boise ID 83712-6267
Phone: (208) 381-4171
Fax: (208) 381-4172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 38992 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 38992 Kentucky
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X M9920 Idaho

Profile Details

NPI number 1306880398
LBN Legal business name Cooper, Amy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 28th, 2012 - about 12 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 1306880398 NPPES
Kentucky MEDICAID 64082670

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