Cooper, Jeffrey C

Cooper, Jeffrey C is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cooper, Jeffrey C can be contacted via phone (574) 243-4450.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-2808
Phone: (574) 243-4450
Fax: (574) 243-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01043721A Indiana

Profile Details

NPI number 1871562975
LBN Legal business name Cooper, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 12th, 2014 - about 10 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 1871562975 NPPES
Indiana MEDICAID 200038580
Indiana Other 000000110542

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