Cooper, Jay M.

Cooper, Jay M. is an sole proprietor health care provider with primary practice located at 300 Canal St Suite B, King City CA 93930-3431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Cooper, Jay M. can be contacted via phone (831) 385-1280.

Contact Information

Primary practice address
300 Canal St Suite B King City CA 93930-3431
Phone: (831) 385-1280
Fax: (831) 385-1285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A69042 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A69042 California

Profile Details

NPI number 1558341891
LBN Legal business name Cooper, Jay M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Feb 14th, 2011 - about 14 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 1558341891 NPPES
California Other 00A690420 BLUE SHIELD PIN
California MEDICAID 00A690420 BLUE SHIELD PIN
California Other 9416832 BLUE SHIELD PIN

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