Cooper, Vernon Kent

Cooper, Vernon Kent is an sole proprietor health care provider with primary practice located at 800 S Ash St , Nevada MO 64772-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Cooper, Vernon Kent can be contacted via phone (417) 448-3642.

Contact Information

Primary practice address
800 S Ash St Nevada MO 64772-3223
Fax: (417) 448-3641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 102825 Missouri

Profile Details

NPI number 1578502753
LBN Legal business name Cooper, Vernon Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jul 21st, 2014 - about 11 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 1578502753 NPPES
Other 206429 BCBS
MEDICAID 206698102 BCBS
Other P00310772 BCBS

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