Cooper, Wantzy

Cooper, Wantzy is an individual health care provider with primary practice located at 1401 Bailey Ave Bldg 1, Needles CA 92363-3103. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Cooper, Wantzy can be contacted via phone (760) 590-0155.

Contact Information

Primary practice address
1401 Bailey Ave Bldg 1 Needles CA 92363-3103
Phone: (760) 590-0155
Fax: (760) 323-7134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14611 California
Allopathic & Osteopathic Physicians / Surgery 208600000X MB74255 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 14611 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14611 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 005530 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 005530 Arizona

Profile Details

NPI number 1942383393
LBN Legal business name Cooper, Wantzy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Apr 8th, 2024 - about 8 months 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 1942383393 NPPES
Arizona MEDICAID 585877

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