Cooper, Virginia Carol
Cooper, Virginia Carol is an individual health care provider with primary practice located at 950 E Bogard Rd Ste 103 , Wasilla AK 99654-7184. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cooper, Virginia Carol can be contacted via phone (907) 352-2820.Contact Information
Primary practice address
950 E Bogard Rd Ste 103
Wasilla AK 99654-7184
Phone: (907) 352-2820
Fax: (907) 352-2885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003339 | Georgia |
Profile Details
| NPI number | 1255333738 |
|---|---|
| LBN Legal business name | Cooper, Virginia Carol |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Dec 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255333738 | NPPES |
| Georgia | MEDICAID | 561080766A |
Popular Providers
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Pedersen, Oren Edwin
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