Soper, Joan Crook
Soper, Joan Crook is an sole proprietor health care provider with primary practice located at 613 Walnut St , Boulder CO 80302-5031. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Soper, Joan Crook can be contacted via phone (303) 443-1223.Contact Information
Primary practice address
613 Walnut St
Boulder CO 80302-5031
Phone: (303) 443-1223
Fax: (303) 473-9153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1746 | Colorado |
Profile Details
| NPI number | 1962460667 |
|---|---|
| LBN Legal business name | Soper, Joan Crook |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | Dec 20th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962460667 | NPPES |
| Colorado | MEDICAID | 07017460 |
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