Cooper, Tammi

Cooper, Tammi is an individual health care provider with primary practice located at 5821 W Maple Rd Suite 190, West Bloomfield MI 48322-2275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooper, Tammi can be contacted via phone (248) 855-0407.

Contact Information

Primary practice address
5821 W Maple Rd Suite 190 West Bloomfield MI 48322-2275
Phone: (248) 855-0407
Fax: (248) 855-1323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301069455 Michigan

Profile Details

NPI number 1619952975
LBN Legal business name Cooper, Tammi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 16th, 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 1619952975 NPPES
Michigan Other 0633928 BCBS INDIVIDUAL
Michigan MEDICAID 1619952975 BCBS INDIVIDUAL
Michigan Other 110F375900 BCBS INDIVIDUAL

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