Niles, Nathan Cooper

Niles, Nathan Cooper is an sole proprietor health care provider with primary practice located at 112 E Central Ave , Arkansas City KS 67005-2602. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Niles, Nathan Cooper can be contacted via phone (620) 442-2575.

Contact Information

Primary practice address
112 E Central Ave Arkansas City KS 67005-2602
Phone: (620) 442-2575
Fax: (620) 442-2570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 60023 Kansas

Profile Details

NPI number 1851381594
LBN Legal business name Niles, Nathan Cooper
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Jun 20th, 2012 - about 12 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 1851381594 NPPES
Kansas MEDICAID 100365030A
Kansas Other 116545
Kansas Other 60023
Kansas Other 1004953

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