Cooper, Carol H
Cooper, Carol H is an sole proprietor health care provider with primary practice located at 1200 Central Ave Suite 4, Ashland KY 41101-7575. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Cooper, Carol H can be contacted via phone (606) 324-1483.Contact Information
Primary practice address
1200 Central Ave Suite 4
Ashland KY 41101-7575
Phone: (606) 324-1483
Fax: (606) 329-2612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 28550 | Kentucky |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 28550 | Kentucky |
Profile Details
| NPI number | 1154346369 |
|---|---|
| LBN Legal business name | Cooper, Carol H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Feb 10th, 2022 - 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 | 1154346369 | NPPES |
| Kentucky | Other | 0723902 | MEDICARE ID |
| Kentucky | MEDICAID | 64285505 | MEDICARE ID |
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