Cooper, Walter Thomas
Cooper, Walter Thomas is an sole proprietor health care provider with primary practice located at 1200 N 14Th Ave Suite 245, Pasco WA 99301-4182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Walter Thomas can be contacted via phone (509) 547-9521.Contact Information
Primary practice address
1200 N 14Th Ave Suite 245
Pasco WA 99301-4182
Phone: (509) 547-9521
Fax: (509) 547-5983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00020136 | Washington |
Profile Details
| NPI number | 1528137759 |
|---|---|
| LBN Legal business name | Cooper, Walter Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jan 8th, 2008 - about 16 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 | 1528137759 | NPPES |
| Washington | MEDICAID | 1377100 |
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