Cooper, Glen Lawrence

Cooper, Glen Lawrence is an individual health care provider with primary practice located at Box 530, Route 130 , Harrison City PA 15636. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cooper, Glen Lawrence can be contacted via phone (724) 744-4471.

Contact Information

Primary practice address
Box 530, Route 130 Harrison City PA 15636
Fax: (724) 744-1214
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X RT000248A Pennsylvania

Profile Details

NPI number 1891771887
LBN Legal business name Cooper, Glen Lawrence
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 2007 - 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.

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