Cooper, Brenda W

Cooper, Brenda W is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cooper, Brenda W can be contacted via phone (216) 844-8500.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35-059171 Ohio

Profile Details

NPI number 1518986462
LBN Legal business name Cooper, Brenda W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 19th, 2020 - about 5 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 1518986462 NPPES
Ohio MEDICAID 0791415
Ohio Other P00449269
Ohio Other 000000539541
Ohio Other 363443
Ohio Other 700006754
Ohio Other 000000224384
Ohio Other 741816
Ohio Other 0643890

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