Cooper, M. Elizabeth
Cooper, M. Elizabeth is an individual health care provider with primary practice located at 1302 Franklin Ave #4800, Normal IL 61761-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, M. Elizabeth can be contacted via phone (309) 454-5900.Contact Information
Primary practice address
1302 Franklin Ave #4800
Normal IL 61761-3551
Phone: (309) 454-5900
Fax: (309) 454-2820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-005282 | Illinois |
Profile Details
NPI number | 1437106762 |
---|---|
LBN Legal business name | Cooper, M. Elizabeth |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Jul 6th, 2009 - about 15 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 | 1437106762 | NPPES |
Illinois | Other | 05732097 | BCBS |
Illinois | Other | 105322 | BCBS |
Illinois | Other | 906770 | BCBS |
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