Cooper, Gregory Arthur

Cooper, Gregory Arthur is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Cooper, Gregory Arthur can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Fax: (507) 825-4752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30422 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 30422 Minnesota

Profile Details

NPI number 1730179870
LBN Legal business name Cooper, Gregory Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 30th, 2015 - about 9 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 1730179870 NPPES
Minnesota MEDICAID 656582400

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