Cooper, Sheldon Mark
Cooper, Sheldon Mark is an individual health care provider with primary practice located at 111 Colchester Ave East Pavilion Level 5 Rheumatology, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Cooper, Sheldon Mark can be contacted via phone (802) 847-4574.Contact Information
Primary practice address
111 Colchester Ave East Pavilion Level 5 Rheumatology
Burlington VT 05401-1473
Phone: (802) 847-4574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0420006785 | Vermont |
Profile Details
| NPI number | 1366557662 |
|---|---|
| LBN Legal business name | Cooper, Sheldon Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jun 15th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366557662 | NPPES |
| Vermont | MEDICAID | 0005488 |
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