Kooima, Cynthia L

Kooima, Cynthia L is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Ste 200, Gilbert AZ 85234-2168. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Kooima, Cynthia L can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Ste 200 Gilbert AZ 85234-2168
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 31186 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31186 Arizona

Profile Details

NPI number 1114971363
LBN Legal business name Kooima, Cynthia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114971363 NPPES
Arizona MEDICAID 115551
Arizona Other 3Z3971

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