Cooper, Elizabeth Coenen
Cooper, Elizabeth Coenen is an sole proprietor health care provider with primary practice located at 17028 Lejeune Road , Quantico VA 22134-1757. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cooper, Elizabeth Coenen can be contacted via phone (703) 217-3511.Contact Information
Primary practice address
17028 Lejeune Road
Quantico VA 22134-1757
Phone: (703) 217-3511
Fax: (703) 221-6905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202004656 | Virginia |
Profile Details
NPI number | 1316943616 |
---|---|
LBN Legal business name | Cooper, Elizabeth Coenen |
Credentials | M.A., CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 22nd, 2005 |
Last updated | Jul 24th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316943616 | NPPES |
Virginia | Other | 194110 | ANTHEM BCBS |
Virginia | Other | 201511442 | ANTHEM BCBS |
Virginia | MEDICAID | 010125961 | ANTHEM BCBS |
Virginia | Other | 2157798 | ANTHEM BCBS |
Virginia | Other | 201511442 | ANTHEM BCBS |
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