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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710067905 NPPES
Kentucky MEDICAID 7100136960

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