Cooley, Paul Robert
Cooley, Paul Robert is an individual health care provider with primary practice located at 501 Penn Ave Ste 2 , Pittsburgh PA 15222-3224. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Cooley, Paul Robert can be contacted via phone (412) 442-2343.Contact Information
Primary practice address
501 Penn Ave Ste 2
Pittsburgh PA 15222-3224
Phone: (412) 442-2343
Fax: (412) 325-2536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP024504 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP024504 | Pennsylvania |
Profile Details
| NPI number | 1154088268 |
|---|---|
| LBN Legal business name | Cooley, Paul Robert |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2021 |
| Last updated | Jan 8th, 2024 - about 2 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 | 1154088268 | NPPES |
| Pennsylvania | MEDICAID | 103993702 | |
| Pennsylvania | Other | CAQH |
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