Cooper, Jaime
Cooper, Jaime is an individual health care provider with primary practice located at 1080 Glensboro Rd , Lawrenceburg KY 40342-9033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Cooper, Jaime can be contacted via phone (502) 839-4091.Contact Information
Primary practice address
1080 Glensboro Rd
Lawrenceburg KY 40342-9033
Phone: (502) 839-4091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40476 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40476 | Kentucky |
Profile Details
| NPI number | 1710067905 |
|---|---|
| LBN Legal business name | Cooper, Jaime |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Dec 28th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710067905 | NPPES |
| Kentucky | MEDICAID | 7100136960 |
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