Cooper, Justin Charles
Cooper, Justin Charles is an individual health care provider with primary practice located at 1800 Cooks Hill Rd Suite F, Centralia WA 98531-9072. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cooper, Justin Charles can be contacted via phone (360) 827-6700.Contact Information
Primary practice address
1800 Cooks Hill Rd Suite F
Centralia WA 98531-9072
Phone: (360) 827-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60640498 | Washington |
Profile Details
| NPI number | 1316339385 |
|---|---|
| LBN Legal business name | Cooper, Justin Charles |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2015 |
| Last updated | Feb 22nd, 2017 - about 8 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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