Cooper, Chad Mitchell

Cooper, Chad Mitchell is an individual health care provider with primary practice located at 929 N Main St , London KY 40741-1122. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Cooper, Chad Mitchell can be contacted via phone (606) 862-0956.

Contact Information

Primary practice address
929 N Main St London KY 40741-1122
Phone: (606) 862-0956
Fax: (606) 862-0955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00466 Kentucky

Profile Details

NPI number 1912344011
LBN Legal business name Cooper, Chad Mitchell
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2013
Last updated Apr 7th, 2017 - about 7 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 1912344011 NPPES
Kentucky MEDICAID 7100449460

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