Cooper, Edgar S.

Cooper, Edgar S. is an individual health care provider with primary practice located at 5339 Odonavan , Baton Rouge LA 70808-4388. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Cooper, Edgar S. can be contacted via phone (225) 766-4999.

Contact Information

Primary practice address
5339 Odonavan Baton Rouge LA 70808-4388
Phone: (225) 766-4999
Fax: (225) 763-5870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.010933 Louisiana
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X MD 010933 Louisiana

Profile Details

NPI number 1629039946
LBN Legal business name Cooper, Edgar S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 22nd, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629039946 NPPES
Louisiana MEDICAID 1192392

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