Cooper, Shamus Luke
Cooper, Shamus Luke is an individual health care provider with primary practice located at 705 Riley Hospital Drive Ri 4205, Indianapolis IN 46202-5109. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cooper, Shamus Luke can be contacted via phone (317) 944-9604.Contact Information
Primary practice address
705 Riley Hospital Drive Ri 4205
Indianapolis IN 46202-5109
Phone: (317) 944-9604
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 12013883A | Indiana |
Profile Details
NPI number | 1073247805 |
---|---|
LBN Legal business name | Cooper, Shamus Luke |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2022 |
Last updated | Jul 16th, 2022 - about 3 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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