Cooper, Zachary Mayne

Cooper, Zachary Mayne is an individual health care provider with primary practice located at 20 Hospital Dr , Logan WV 25601-3452. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cooper, Zachary Mayne can be contacted via phone (304) 831-1101.

Contact Information

Primary practice address
20 Hospital Dr Logan WV 25601-3452
Phone: (304) 831-1101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110009469 Virginia

Profile Details

NPI number 1639805948
LBN Legal business name Cooper, Zachary Mayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Aug 14th, 2023 - 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.

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