Cooper, Ivan N

Cooper, Ivan N is an sole proprietor health care provider with primary practice located at 1932 Alcoa Hwy Suite C-480, Knoxville TN 37920-1527. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cooper, Ivan N can be contacted via phone (865) 632-5700.

Contact Information

Primary practice address
1932 Alcoa Hwy Suite C-480 Knoxville TN 37920-1527
Phone: (865) 632-5700
Fax: (865) 632-5778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM132 Tennessee

Profile Details

NPI number 1952491748
LBN Legal business name Cooper, Ivan N
Credentials D.P.M., P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Dec 31st, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952491748 NPPES
Tennessee Other 2008103 BLUE CROSS
Tennessee MEDICAID 3350481 BLUE CROSS

Popular Providers