Cooper, Jac Alan

Cooper, Jac Alan is an individual health care provider with primary practice located at 900 N 1St St , Springfield IL 62702-3749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Cooper, Jac Alan can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
900 N 1St St Springfield IL 62702-3749
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.061379 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 01080567A Indiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01080567A Indiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036153198 Illinois

Profile Details

NPI number 1144583287
LBN Legal business name Cooper, Jac Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2012
Last updated Mar 3rd, 2023 - about last year

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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