Cooper, Jane D

Cooper, Jane D is an individual health care provider with primary practice located at 1625 Straits Tpke Suite #301, Middlebury CT 06762-1836. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Cooper, Jane D can be contacted via phone (203) 573-7281.

Contact Information

Primary practice address
1625 Straits Tpke Suite #301 Middlebury CT 06762-1836
Fax: (203) 573-7230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 030768 Connecticut

Profile Details

NPI number 1356314066
LBN Legal business name Cooper, Jane D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Oct 3rd, 2012 - about 13 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 1356314066 NPPES
Connecticut MEDICAID 001307678

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