Cooper, Mark Douglas

Cooper, Mark Douglas is an sole proprietor health care provider with primary practice located at 421 E 3Rd St , Newport KY 41071-1726. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician. Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician is his primary health care specialty. Cooper, Mark Douglas can be contacted via phone (510) 541-4321.

Contact Information

Primary practice address
421 E 3Rd St Newport KY 41071-1726
Phone: (510) 541-4321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician 2470A2800X

Profile Details

NPI number 1770781379
LBN Legal business name Cooper, Mark Douglas
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2007
Last updated May 16th, 2022 - about 2 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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