Cooper, Jerry

Cooper, Jerry is an individual health care provider with primary practice located at 1015 Lanton Rd , West Plains MO 65775-3854. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Cooper, Jerry can be contacted via phone (417) 256-2570.

Contact Information

Primary practice address
1015 Lanton Rd West Plains MO 65775-3854
Phone: (417) 256-2570
Fax: (417) 256-6497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1235385360
LBN Legal business name Cooper, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Aug 8th, 2008 - about 16 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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