Cooper, Michelle A

Cooper, Michelle A is an individual health care provider with primary practice located at 801 S Adams St , Petersburg VA 23803-5149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cooper, Michelle A can be contacted via phone (804) 862-5000.

Contact Information

Primary practice address
801 S Adams St Petersburg VA 23803-5149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840698 Virginia

Profile Details

NPI number 1073624888
LBN Legal business name Cooper, Michelle A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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.

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