Cosper, Pamela Rose
Cosper, Pamela Rose is an sole proprietor health care provider with primary practice located at 16 Sherwood Drive Suite C, Bloomsburg PA 17815-3086. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cosper, Pamela Rose can be contacted via phone (570) 204-4028.Contact Information
Primary practice address
16 Sherwood Drive Suite C
Bloomsburg PA 17815-3086
Phone: (570) 204-4028
Fax: (570) 445-2214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW018964 | Pennsylvania |
Profile Details
| NPI number | 1740669183 |
|---|---|
| LBN Legal business name | Cosper, Pamela Rose |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2015 |
| Last updated | Feb 22nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740669183 | NPPES |
| Pennsylvania | MEDICAID | 1035723800001 | |
| Pennsylvania | MEDICAID | 0019468810006 |
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