Cooper-Lewis, Jennifer Anne
Cooper-Lewis, Jennifer Anne is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Cooper-Lewis, Jennifer Anne can be contacted via phone (417) 820-2115.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-2115
Fax: (417) 820-5344
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 068394 | Georgia |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2015015950 | Missouri |
Profile Details
NPI number | 1720228950 |
---|---|
LBN Legal business name | Cooper-Lewis, Jennifer Anne |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2009 |
Last updated | Dec 2nd, 2015 - about 9 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 | 1720228950 | NPPES |
Missouri | MEDICAID | 1720228950 |
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