Cooper, Victor H

Cooper, Victor H is an individual health care provider with primary practice located at 350 Lakeway Drive , Russell Springs KY 42642-0265. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cooper, Victor H can be contacted via phone (270) 866-3543.

Contact Information

Primary practice address
350 Lakeway Drive Russell Springs KY 42642-0265
Fax: (270) 866-8371
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3580R Kentucky

Profile Details

NPI number 1982665931
LBN Legal business name Cooper, Victor H
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982665931 NPPES
Kentucky MEDICAID 85036366

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