Cooper, Beth Ann

Cooper, Beth Ann is an individual health care provider with primary practice located at 1100 N Kentucky Ave , West Plains MO 65775-2029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Cooper, Beth Ann can be contacted via phone (270) 745-1200.

Contact Information

Primary practice address
1100 N Kentucky Ave West Plains MO 65775-2029
Fax: (270) 843-5020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 02810 Kentucky

Profile Details

NPI number 1437133733
LBN Legal business name Cooper, Beth Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 21st, 2022 - 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 1437133733 NPPES
Arkansas MEDICAID 115188001
Arkansas MEDICAID 64068943
Arkansas MEDICAID 1437133733

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