Cooper, Jeff
Cooper, Jeff is an individual health care provider with primary practice located at 4300 Talbot Road S Suite 104, Renton WA 98055-5767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cooper, Jeff can be contacted via phone (425) 228-1123.Contact Information
Primary practice address
4300 Talbot Road S Suite 104
Renton WA 98055-5767
Phone: (425) 228-1123
Fax: (425) 228-5791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | OP00001995 | Washington |
Profile Details
| NPI number | 1588634935 |
|---|---|
| LBN Legal business name | Cooper, Jeff |
| Credentials | DO PLLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Sep 18th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588634935 | NPPES |
| Washington | Other | G8863962 | MEDICARE ID-PIN |
| Washington | MEDICAID | 8429854 | MEDICARE ID-PIN |
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