Cooper, Martin
Cooper, Martin is an sole proprietor health care provider with primary practice located at 1927 Nicholas Dr , Huntingdon Valley PA 19006-7930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Martin can be contacted via phone (215) 947-9784.Contact Information
Primary practice address
1927 Nicholas Dr
Huntingdon Valley PA 19006-7930
Phone: (215) 947-9784
Fax: (215) 947-7223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD27137L | Pennsylvania |
Profile Details
| NPI number | 1043324718 |
|---|---|
| LBN Legal business name | Cooper, Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043324718 | NPPES |
| Pennsylvania | Other | 0045688000 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 015692 | INDEPENDENCE BLUE CROSS |
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