Cooper, Richard Todd

Cooper, Richard Todd is an individual health care provider with primary practice located at 1001 Gause Blvd , Slidell LA 70458-2939. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Cooper, Richard Todd can be contacted via phone (985) 643-2200.

Contact Information

Primary practice address
1001 Gause Blvd Slidell LA 70458-2939
Phone: (985) 643-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 854822 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP07104 Louisiana

Profile Details

NPI number 1003151945
LBN Legal business name Cooper, Richard Todd
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2012
Last updated Mar 17th, 2018 - about 7 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 1003151945 NPPES
Mississippi MEDICAID 09305086
Mississippi MEDICAID 2319345

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