Cooper, Rachel Justine

Cooper, Rachel Justine is an individual health care provider with primary practice located at 125 Lattimore Rd Ste 200 , Rochester NY 14620-4155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Cooper, Rachel Justine can be contacted via phone (585) 275-7892.

Contact Information

Primary practice address
125 Lattimore Rd Ste 200 Rochester NY 14620-4155
Phone: (585) 275-7892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1572 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001572 New York

Profile Details

NPI number 1851721294
LBN Legal business name Cooper, Rachel Justine
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2013
Last updated Jul 3rd, 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 1851721294 NPPES
New York MEDICAID 03990654

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