Cooper, Sally A.

Cooper, Sally A. is an individual health care provider with primary practice located at 123 Andover Rd , Westbrook ME 04092-3848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Cooper, Sally A. can be contacted via phone (207) 761-2200.

Contact Information

Primary practice address
123 Andover Rd Westbrook ME 04092-3848
Phone: (207) 761-2200
Fax: (207) 761-2108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD14099 Maine

Profile Details

NPI number 1013070580
LBN Legal business name Cooper, Sally A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 3rd, 2016 - about 9 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 1013070580 NPPES
Maine MEDICAID 1013070580
Maine MEDICAID 104540000

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