Cooper, Heidi Jo
Cooper, Heidi Jo is an individual health care provider with primary practice located at 217 S Handy St , Post Falls ID 83854-7283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cooper, Heidi Jo can be contacted via phone (208) 661-5991.Contact Information
Primary practice address
217 S Handy St
Post Falls ID 83854-7283
Phone: (208) 661-5991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NP74551 | Idaho |
Profile Details
| NPI number | 1629661210 |
|---|---|
| LBN Legal business name | Cooper, Heidi Jo |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2021 |
| Last updated | Dec 29th, 2022 - about 3 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 | 1629661210 | NPPES |
| Idaho | MEDICAID | 1629661210 |
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