Cooper, Stanton Tucker

Cooper, Stanton Tucker is an sole proprietor health care provider with primary practice located at 1501 Robert J Conlan Blvd Ne Suite 3, Palm Bay FL 32905-3502. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Cooper, Stanton Tucker can be contacted via phone (321) 726-8116.

Contact Information

Primary practice address
1501 Robert J Conlan Blvd Ne Suite 3 Palm Bay FL 32905-3502
Phone: (321) 726-8116
Fax: (321) 726-8535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X CH0003926 Florida

Profile Details

NPI number 1568542546
LBN Legal business name Cooper, Stanton Tucker
Credentials DC, DACAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Sep 13th, 2007 - about 18 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 1568542546 NPPES
Florida Other 88902Z MEDICARE

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