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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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