Cooper, Colleen J

Cooper, Colleen J is an individual health care provider with primary practice located at 606 24Th Ave S Suite 602, Minneapolis MN 55454-1455. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Cooper, Colleen J can be contacted via phone (612) 273-6099.

Contact Information

Primary practice address
606 24Th Ave S Suite 602 Minneapolis MN 55454-1455
Phone: (612) 273-6099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26550 Minnesota
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 26550 Minnesota

Profile Details

NPI number 1326135963
LBN Legal business name Cooper, Colleen J
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 4th, 2015 - about 9 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 1326135963 NPPES
Minnesota MEDICAID 245567600

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