Cooper, E Evonne

Cooper, E Evonne is an sole proprietor health care provider with primary practice located at 10000 W 75Th St Ste 121, Shawnee Mission KS 66204-2209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cooper, E Evonne can be contacted via phone (913) 362-7518.

Contact Information

Primary practice address
10000 W 75Th St Ste 121 Shawnee Mission KS 66204-2209
Phone: (913) 362-7518
Fax: (913) 362-7302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-00492 Kansas

Profile Details

NPI number 1336249507
LBN Legal business name Cooper, E Evonne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated May 16th, 2014 - about 11 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 1336249507 NPPES
Kansas MEDICAID 100413670B

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