Cooper, Roy E

Cooper, Roy E is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-0600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cooper, Roy E can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN042164 Georgia

Profile Details

NPI number 1619910866
LBN Legal business name Cooper, Roy E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1619910866 NPPES
Arizona MEDICAID 913865

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