Cooper, Matthew

Cooper, Matthew is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Cooper, Matthew can be contacted via phone (414) 805-6060.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Fax: (414) 955-0213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0056067 Maryland
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 37971 Wisconsin

Profile Details

NPI number 1740204965
LBN Legal business name Cooper, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 2nd, 2023 - about last year

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 1740204965 NPPES
Maryland Other 0102 CAREFIRST REGIONAL
Maryland Other 88803 CAREFIRST REGIONAL
Maryland Other 2134678 CAREFIRST REGIONAL
Maryland Other 237044 CAREFIRST REGIONAL
Maryland Other 60755401 CAREFIRST REGIONAL
Maryland MEDICAID 133605300 CAREFIRST REGIONAL

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