Cooper, Mary A

Cooper, Mary A is an individual health care provider with primary practice located at 1001 N Madison Ave , Greenwood IN 46142-4135. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cooper, Mary A can be contacted via phone (317) 888-3508.

Contact Information

Primary practice address
1001 N Madison Ave Greenwood IN 46142-4135
Phone: (317) 888-3508
Fax: (317) 888-5968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01032763 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01032763A Indiana

Profile Details

NPI number 1922085042
LBN Legal business name Cooper, Mary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922085042 NPPES
Indiana MEDICAID 200386390

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