Cooper, Mark W
Cooper, Mark W is an individual health care provider with primary practice located at 1103 Village Square Dr Suite 100, Perrysburg OH 43551-1783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Mark W can be contacted via phone (419) 874-8745.Contact Information
Primary practice address
1103 Village Square Dr Suite 100
Perrysburg OH 43551-1783
Phone: (419) 874-8745
Fax: (419) 874-8748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3895 | Ohio |
Profile Details
| NPI number | 1801896014 |
|---|---|
| LBN Legal business name | Cooper, Mark W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1801896014 | NPPES |
| Ohio | MEDICAID | 0608631 |
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