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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568542546 | NPPES |
| Florida | Other | 88902Z | MEDICARE |
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