Cooper, Wendy
Cooper, Wendy is an individual health care provider with primary practice located at N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc., Waukesha WI 53188-1135. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cooper, Wendy can be contacted via phone (262) 549-3030.Contact Information
Primary practice address
N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc.
Waukesha WI 53188-1135
Phone: (262) 549-3030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28143 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28143 | Wisconsin |
Profile Details
| NPI number | 1720051824 |
|---|---|
| LBN Legal business name | Cooper, Wendy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Nov 15th, 2011 - about 14 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 | 1720051824 | NPPES |
| Wisconsin | MEDICAID | 30780600 |
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