Cooper, Nicole I

Cooper, Nicole I is an sole proprietor health care provider with primary practice located at 1221 Mercantile Ln , Upper Marlboro MD 20774-5374. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cooper, Nicole I can be contacted via phone (301) 386-5100.

Contact Information

Primary practice address
1221 Mercantile Ln Upper Marlboro MD 20774-5374
Phone: (301) 386-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0079580 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0079580 Maryland

Profile Details

NPI number 1669764767
LBN Legal business name Cooper, Nicole I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2011
Last updated Jul 21st, 2022 - 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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