R. Edward Cooper Jr Md, Pa

LBN: R. Edward Cooper Jr Md, Pa
R. Edward Cooper Jr Md, Pa is an health care organization with primary practice located at 1000 E Matthews Ave Suite D, Jonesboro AR 72401-4307. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. R. Edward Cooper Jr Md, Pa can be contacted via phone (870) 972-8521, or through Smith, Don via phone (870) 972-8521.

Contact Information

Primary practice address
1000 E Matthews Ave Suite D Jonesboro AR 72401-4307
Phone: (870) 972-8521
Fax: (870) 972-8042
Website:
Map and Directions
Authorized official contact:
Name: Smith, Don
Phone: (870) 972-8521

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C8114 Arkansas

Profile Details

NPI number 1154652410
LBN Legal business name R. Edward Cooper Jr Md, Pa
DBA Doing business as
Authorized official Smith, Don
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated Jul 13th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154652410 NPPES
Arkansas MEDICAID 129515001

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