Cooper, Shannon Swift

Cooper, Shannon Swift is an individual health care provider with primary practice located at 1309 W Main St , Walnut Ridge AR 72476-1430. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cooper, Shannon Swift can be contacted via phone (870) 886-3211.

Contact Information

Primary practice address
1309 W Main St Walnut Ridge AR 72476-1430
Phone: (870) 886-3211
Fax: (870) 886-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E8066 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E8066 Arkansas

Profile Details

NPI number 1013141621
LBN Legal business name Cooper, Shannon Swift
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2009
Last updated Dec 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013141621 NPPES
Arkansas MEDICAID 296613

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