Cooper, Maxwell Ian

Cooper, Maxwell Ian is an individual health care provider with primary practice located at 1 Medical Center Blvd , Chester PA 19013-3902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cooper, Maxwell Ian can be contacted via phone (610) 447-2000.

Contact Information

Primary practice address
1 Medical Center Blvd Chester PA 19013-3902
Phone: (610) 447-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101258678 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD463855 Pennsylvania

Profile Details

NPI number 1922374669
LBN Legal business name Cooper, Maxwell Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Jun 23rd, 2023 - about 2 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 1922374669 NPPES
New Jersey MEDICAID 06937223

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