Terry, Cooper Loomis

Terry, Cooper Loomis is an sole proprietor health care provider with primary practice located at 497 Azalea Dr Suite 102, Oxford MS 38655-7905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Terry, Cooper Loomis can be contacted via phone (662) 513-2000.

Contact Information

Primary practice address
497 Azalea Dr Suite 102 Oxford MS 38655-7905
Phone: (662) 513-2000
Fax: (662) 513-2001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 14854 Mississippi
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 14854 Mississippi

Profile Details

NPI number 1407887797
LBN Legal business name Terry, Cooper Loomis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Apr 10th, 2019 - about 6 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 1407887797 NPPES
Mississippi MEDICAID 00117049

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