Cooper, Teresa S

Cooper, Teresa S is an individual health care provider with primary practice located at 201 Highland Dr , Buena WA 98921-0139. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician, which is considered as her primary health care specialty. Cooper, Teresa S can be contacted via phone (509) 865-6705.

Contact Information

Primary practice address
201 Highland Dr Buena WA 98921-0139
Fax:
Website:

Health care specialties

Profile Details

NPI number 1508454380
LBN Legal business name Cooper, Teresa S
Credentials CM61087822
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2021
Last updated Jan 6th, 2021 - about 4 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 1508454380 NPPES
Washington MEDICAID 910755984

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