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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1659331676 NPPES
Arizona MEDICAID 512295

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