Cooper, Wade Michael
Cooper, Wade Michael is an individual health care provider with primary practice located at 325 East Eisenhower Suite 100, Ann Arbor MI 48108-5744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Cooper, Wade Michael can be contacted via phone (734) 763-5459.Contact Information
Primary practice address
325 East Eisenhower Suite 100
Ann Arbor MI 48108-5744
Phone: (734) 763-5459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 5101014529 | Michigan |
Profile Details
| NPI number | 1124007208 |
|---|---|
| LBN Legal business name | Cooper, Wade Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Dec 19th, 2019 - about 5 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 | 1124007208 | NPPES |
| Michigan | MEDICAID | 4762467 |
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