Nowak-Cooperman, Kim Marie

Nowak-Cooperman, Kim Marie is an individual health care provider with primary practice located at Children'S Hospital And Regional Medical Center 4800 Sand Point Way Ne M/S 3726, Seattle WA 98105-0371. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Nowak-Cooperman, Kim Marie can be contacted via phone (206) 987-2087.

Contact Information

Primary practice address
Children'S Hospital And Regional Medical Center 4800 Sand Point Way Ne M/S 3726 Seattle WA 98105-0371
Phone: (206) 987-2087
Fax: (206) 987-5087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X

Profile Details

NPI number 1952406704
LBN Legal business name Nowak-Cooperman, Kim Marie
Credentials R.D.,C.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1952406704 NPPES
Washington MEDICAID 8261786
Washington Other DI00000095

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