Cooper, Deonte

Cooper, Deonte is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Cooper, Deonte can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1902351943
LBN Legal business name Cooper, Deonte
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Aug 19th, 2016 - 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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