Cooper, Jamille T

Cooper, Jamille T is an individual health care provider with primary practice located at 46440 Benedict Drive, Suite 207 , Sterling VA 20164-6602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cooper, Jamille T can be contacted via phone (703) 444-2100.

Contact Information

Primary practice address
46440 Benedict Drive, Suite 207 Sterling VA 20164-6602
Phone: (703) 444-2100
Fax: (703) 444-0386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD062805L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101241033 Virginia

Profile Details

NPI number 1538182100
LBN Legal business name Cooper, Jamille T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 29th, 2022 - about 2 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 1538182100 NPPES
Virginia MEDICAID 1538182100

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