Cooper, Shaun

Cooper, Shaun is an individual health care provider with primary practice located at 12501 Hamilton , Highland Park MI 48203. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cooper, Shaun can be contacted via phone (313) 587-3092.

Contact Information

Primary practice address
12501 Hamilton Highland Park MI 48203
Phone: (313) 587-3092
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 6301008358 Michigan

Profile Details

NPI number 1609167907
LBN Legal business name Cooper, Shaun
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Apr 21st, 2011 - about 13 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 1609167907 NPPES
Ohio MEDICAID 2604097

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