Dubose-Cooper, Sheila

Dubose-Cooper, Sheila is an individual health care provider with primary practice located at 982 E Main St Optimus Health Care- School-Based Health Centers, Bridgeport CT 06608-1913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dubose-Cooper, Sheila can be contacted via phone (203) 579-9519.

Contact Information

Primary practice address
982 E Main St Optimus Health Care- School-Based Health Centers Bridgeport CT 06608-1913
Phone: (203) 579-9519
Fax: (203) 579-9519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002167 Connecticut

Profile Details

NPI number 1144208877
LBN Legal business name Dubose-Cooper, Sheila
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 7th, 2009 - about 15 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 1144208877 NPPES
Connecticut MEDICAID 004142361

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