Cooperstock, Michael

Cooperstock, Michael is an individual health care provider with primary practice located at 404 N Keene St , Columbia MO 65201-6626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Cooperstock, Michael can be contacted via phone (573) 882-6921.

Contact Information

Primary practice address
404 N Keene St Columbia MO 65201-6626
Phone: (573) 882-6921
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X R5666 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R5666 Missouri

Profile Details

NPI number 1497701023
LBN Legal business name Cooperstock, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497701023 NPPES
Missouri Other 11588 BLUE SHIELD
Missouri Other 9209005 BLUE SHIELD
Missouri Other 11588 BLUE SHIELD
Missouri Other 102434 BLUE SHIELD
Missouri MEDICAID 200527802 BLUE SHIELD
Missouri Other 2086988101 BLUE SHIELD

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