Cooper, Keith E

Cooper, Keith E is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cooper, Keith E can be contacted via phone (608) 825-3500.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Phone: (608) 825-3500
Fax: (608) 825-3676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 65886-21 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002249A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65886-21 Wisconsin

Profile Details

NPI number 1477505063
LBN Legal business name Cooper, Keith E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 18th, 2024 - about 7 months 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 1477505063 NPPES
Wisconsin MEDICAID 1477505063

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