Cooper, Philippe Jonathan

Cooper, Philippe Jonathan is an individual health care provider with primary practice located at W180N8085 Town Hall Rd , Menomonee Falls WI 53051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cooper, Philippe Jonathan can be contacted via phone (262) 257-5100.

Contact Information

Primary practice address
W180N8085 Town Hall Rd Menomonee Falls WI 53051
Fax: (262) 518-5052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 43797 Wisconsin

Profile Details

NPI number 1700855632
LBN Legal business name Cooper, Philippe Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 6th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700855632 NPPES
Wisconsin MEDICAID 1700855632

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