Cooper, Elisabeth

Cooper, Elisabeth is an individual health care provider with primary practice located at 1035 Placer St , Redding CA 96001-1125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cooper, Elisabeth can be contacted via phone (530) 246-5710.

Contact Information

Primary practice address
1035 Placer St Redding CA 96001-1125
Phone: (530) 246-5710
Fax: (530) 229-1206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002670 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22308 California

Profile Details

NPI number 1114969003
LBN Legal business name Cooper, Elisabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 10th, 2012 - about 12 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 1114969003 NPPES
Illinois MEDICAID 085-002670

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