Cooper, Matthew Lawrence

Cooper, Matthew Lawrence is an individual health care provider with primary practice located at 714 N Senate Ave , Indianapolis IN 46202-3763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cooper, Matthew Lawrence can be contacted via phone (317) 715-6381.

Contact Information

Primary practice address
714 N Senate Ave Indianapolis IN 46202-3763
Phone: (317) 715-6381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 57014227 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01072622A Indiana

Profile Details

NPI number 1912168915
LBN Legal business name Cooper, Matthew Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Feb 4th, 2021 - about 4 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 1912168915 NPPES
Indiana MEDICAID 201178370

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