Cooper, Glenn S
Cooper, Glenn S is an individual health care provider with primary practice located at 2422 S Broad St 1St Floor, Phila PA 19145-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cooper, Glenn S can be contacted via phone (215) 389-1748.Contact Information
Primary practice address
2422 S Broad St 1St Floor
Phila PA 19145-4418
Phone: (215) 389-1748
Fax: (215) 389-0604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD042074L | Pennsylvania |
Profile Details
| NPI number | 1154306033 |
|---|---|
| LBN Legal business name | Cooper, Glenn S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Apr 19th, 2017 - about 7 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 | 1154306033 | NPPES |
| Pennsylvania | MEDICAID | 0014735400001 |
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