Cooper, Ellen R
Cooper, Ellen R is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Cooper, Ellen R can be contacted via phone (617) 414-4841.Contact Information
Primary practice address
850 Harrison Ave Yacc5
Boston MA 02118-4001
Phone: (617) 414-4841
Fax: (617) 414-7230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 56270 | Massachusetts |
Profile Details
| NPI number | 1912998675 |
|---|---|
| LBN Legal business name | Cooper, Ellen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912998675 | NPPES |
| Massachusetts | MEDICAID | 110043103A |
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