Cooper, Richard Lee

Cooper, Richard Lee is an individual health care provider with primary practice located at 10131 S Yale Ave , Tulsa OK 74137-6002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Cooper, Richard Lee can be contacted via phone (918) 369-6274.

Contact Information

Primary practice address
10131 S Yale Ave Tulsa OK 74137-6002
Phone: (918) 369-6274
Fax: (918) 369-6278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3519 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3519 Oklahoma

Profile Details

NPI number 1679533384
LBN Legal business name Cooper, Richard Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679533384 NPPES
Oklahoma MEDICAID 100113930C

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