Cooley, Susan L
Cooley, Susan L is an individual health care provider with primary practice located at 800 Coventry Drive , Phillipsburg NJ 08865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Cooley, Susan L can be contacted via phone (908) 859-6055.Contact Information
Primary practice address
800 Coventry Drive
Phillipsburg NJ 08865
Phone: (908) 859-6055
Fax: (908) 859-2042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA05122100 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD042086L | Pennsylvania |
Profile Details
| NPI number | 1457321705 |
|---|---|
| LBN Legal business name | Cooley, Susan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 3rd, 2015 - about 11 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 | 1457321705 | NPPES |
| New Jersey | Other | QS020 | OXFORD |
| New Jersey | Other | 01000188700 | OXFORD |
| New Jersey | MEDICAID | 2186802 | OXFORD |
| New Jersey | Other | 0114723000 | OXFORD |
| New Jersey | Other | 180018928 | OXFORD |
| New Jersey | Other | 56F37 | OXFORD |
| New Jersey | Other | 010051221NJ | OXFORD |
| New Jersey | Other | 1100428-003 | OXFORD |
| New Jersey | MEDICAID | 01496545 | OXFORD |
| New Jersey | Other | 1054290 | OXFORD |
| New Jersey | Other | 38675 | OXFORD |
| New Jersey | Other | 1054291 | OXFORD |
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