Cooper, Robert L

Cooper, Robert L is an individual health care provider with primary practice located at 316 Martin Luther King Jr #212, Tacoma WA 98405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is his primary health care specialty. Cooper, Robert L can be contacted via phone (253) 383-5777.

Contact Information

Primary practice address
316 Martin Luther King Jr #212 Tacoma WA 98405
Phone: (253) 383-5777
Fax: (253) 627-0855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00038809 Washington
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X MD00038809 Washington

Profile Details

NPI number 1295830834
LBN Legal business name Cooper, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 9th, 2011 - about 13 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 1295830834 NPPES
Washington MEDICAID 8436057

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