Cooley, Sharon

Cooley, Sharon is an individual health care provider with primary practice located at 1694 W Logansport Rd , Peru IN 46970-3149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cooley, Sharon can be contacted via phone (765) 472-2812.

Contact Information

Primary practice address
1694 W Logansport Rd Peru IN 46970-3149
Phone: (765) 472-2812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000849A Indiana

Profile Details

NPI number 1982669545
LBN Legal business name Cooley, Sharon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 22nd, 2017 - about 9 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 1982669545 NPPES
Indiana MEDICAID 100388440
Indiana Other P01738512
Indiana Other 000001058329
Indiana MEDICAID 1008388440

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