Cooper, Douglas Justin

Cooper, Douglas Justin is an individual health care provider with primary practice located at 121 Park Place Ct , Lexington SC 29072-6690. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Cooper, Douglas Justin can be contacted via phone (803) 356-4712.

Contact Information

Primary practice address
121 Park Place Ct Lexington SC 29072-6690
Phone: (803) 356-4712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 741 Minnesota

Profile Details

NPI number 1851957609
LBN Legal business name Cooper, Douglas Justin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2019
Last updated Jan 17th, 2024 - about 10 months 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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