Cooper, Sarah R

Cooper, Sarah R is an individual health care provider with primary practice located at 4278 Ladson Rd , Ladson SC 29456-5452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cooper, Sarah R can be contacted via phone (843) 203-2246.

Contact Information

Primary practice address
4278 Ladson Rd Ladson SC 29456-5452
Fax: (843) 203-2247
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2310 South Carolina

Profile Details

NPI number 1700271657
LBN Legal business name Cooper, Sarah R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Jul 24th, 2023 - 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 1700271657 NPPES
South Carolina MEDICAID 2200PA
South Carolina Other 2310

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