Cooper, John Mark
Cooper, John Mark is an sole proprietor health care provider with primary practice located at 234 S 3Rd St , Gadsden AL 35901-4242. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cooper, John Mark can be contacted via phone (256) 547-0406.Contact Information
Primary practice address
234 S 3Rd St
Gadsden AL 35901-4242
Phone: (256) 547-0406
Fax: (256) 547-9663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-920-TA-487 | Alabama |
Profile Details
| NPI number | 1467487819 |
|---|---|
| LBN Legal business name | Cooper, John Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1467487819 | NPPES |
| Alabama | Other | 51512390 | BCBS AL |
| Alabama | Other | 51096433 | BCBS AL |
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