Cooper, Kristine M.
Cooper, Kristine M. is an individual health care provider with primary practice located at 3500 Dalton Way Sw Ste 400 , Cedar Rapids IA 52404-2567. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooper, Kristine M. can be contacted via phone (319) 369-4346.Contact Information
Primary practice address
3500 Dalton Way Sw Ste 400
Cedar Rapids IA 52404-2567
Phone: (319) 369-4346
Fax: (319) 369-4342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO-04533 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41561-021 | Wisconsin |
Profile Details
| NPI number | 1639158330 |
|---|---|
| LBN Legal business name | Cooper, Kristine M. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | May 18th, 2023 - about last year |
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 | 1639158330 | NPPES |
| Wisconsin | MEDICAID | 30093500 | |
| Wisconsin | MEDICAID | 1639158330 |
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