Cooper, Jason

Cooper, Jason is an individual health care provider with primary practice located at 5492 N Ronald Reagan Pkwy Ste 250 , Brownsburg IN 46112-5618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Jason can be contacted via phone (317) 852-3851.

Contact Information

Primary practice address
5492 N Ronald Reagan Pkwy Ste 250 Brownsburg IN 46112-5618
Phone: (317) 852-3851
Fax: (317) 852-1246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01047073 Indiana

Profile Details

NPI number 1427131762
LBN Legal business name Cooper, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 3rd, 2021 - about 4 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 1427131762 NPPES
Indiana MEDICAID 200224060

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