Cooper, Douglas M

Cooper, Douglas M is an individual health care provider with primary practice located at 201 E J Avenue , Grundy Center IA 50638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cooper, Douglas M can be contacted via phone (319) 824-5081.

Contact Information

Primary practice address
201 E J Avenue Grundy Center IA 50638
Phone: (319) 824-5081
Fax: (319) 824-5504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29245 Iowa

Profile Details

NPI number 1770576050
LBN Legal business name Cooper, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Oct 18th, 2010 - about 16 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 1770576050 NPPES
Iowa Other 13115 WELLMARK BCBS
Iowa MEDICAID 0100859 WELLMARK BCBS

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