Cooper, Mitchell E
Cooper, Mitchell E is an individual health care provider with primary practice located at 1250 S Cedar Crest Blvd Suite 110, Allentown PA 18103-6224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Cooper, Mitchell E can be contacted via phone (610) 435-1003.Contact Information
Primary practice address
1250 S Cedar Crest Blvd Suite 110
Allentown PA 18103-6224
Phone: (610) 435-1003
Fax: (610) 435-3184
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD068162L | Pennsylvania |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD068162L | Pennsylvania |
Profile Details
NPI number | 1033115316 |
---|---|
LBN Legal business name | Cooper, Mitchell E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | Oct 29th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033115316 | NPPES |
Pennsylvania | MEDICAID | 0017601550005 |
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