Cooper, Gary L

Cooper, Gary L is an individual health care provider with primary practice located at 501 19Th St Suite 301, Knoxville TN 37916-1854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Cooper, Gary L can be contacted via phone (865) 522-7591.

Contact Information

Primary practice address
501 19Th St Suite 301 Knoxville TN 37916-1854
Phone: (865) 522-7591
Fax: (865) 546-2618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD16958 Tennessee

Profile Details

NPI number 1841269495
LBN Legal business name Cooper, Gary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 29th, 2008 - about 16 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 1841269495 NPPES
Tennessee MEDICAID 3072347
Tennessee Other 4048786

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