Cooper, Stephan K

Cooper, Stephan K is an individual health care provider with primary practice located at 471 Ashley Ridge Blvd. , Shreveport LA 71106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cooper, Stephan K can be contacted via phone (318) 795-4770.

Contact Information

Primary practice address
471 Ashley Ridge Blvd. Shreveport LA 71106
Phone: (318) 795-4770
Fax: (318) 795-4775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 03318R Louisiana

Profile Details

NPI number 1407850316
LBN Legal business name Cooper, Stephan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jan 12th, 2009 - about 16 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 1407850316 NPPES
Louisiana MEDICAID 1158585
Louisiana Other 1053315846
Louisiana Other 180008739

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