Cooper, James Thomas
Cooper, James Thomas is an individual health care provider with primary practice located at 2919 E Ellsworth Rd Suite 125, Mesa AZ 85212. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cooper, James Thomas can be contacted via phone (480) 728-4700.Contact Information
Primary practice address
2919 E Ellsworth Rd Suite 125
Mesa AZ 85212
Phone: (480) 728-4700
Fax: (480) 728-4747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 28358 | Arizona |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28358 | Arizona |
Profile Details
NPI number | 1659331676 |
---|---|
LBN Legal business name | Cooper, James Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jul 16th, 2019 - about 6 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 | 1659331676 | NPPES |
Arizona | MEDICAID | 512295 |
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