Cooper, Charis Joy
Cooper, Charis Joy is an individual health care provider with primary practice located at 802 Merritt St Se , Grand Rapids MI 49507-3398. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Cooper, Charis Joy can be contacted via phone (616) 419-8117.Contact Information
Primary practice address
802 Merritt St Se
Grand Rapids MI 49507-3398
Phone: (616) 419-8117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 7601000108 | Michigan |
Profile Details
| NPI number | 1194439588 |
|---|---|
| LBN Legal business name | Cooper, Charis Joy |
| Credentials | CPM, LM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2023 |
| Last updated | Jan 10th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194439588 | NPPES |
| Michigan | Other | 7601000108 | LICENSED MIDWIFE |
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