Cooley, Vernon J
Cooley, Vernon J is an individual health care provider with primary practice located at 1820 Sidewinder Dr , Park City UT 84060-7492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cooley, Vernon J can be contacted via phone (435) 655-6600.Contact Information
Primary practice address
1820 Sidewinder Dr
Park City UT 84060-7492
Phone: (435) 655-6600
Fax: (435) 655-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 321332-1205 | Utah |
Profile Details
| NPI number | 1891747291 |
|---|---|
| LBN Legal business name | Cooley, Vernon J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 3rd, 2018 - about 8 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 | 1891747291 | NPPES |
| Utah | Other | 60842 | PUBLIC EMPLOYEES HEALTH P |
| Utah | Other | 187251500 | PUBLIC EMPLOYEES HEALTH P |
| Utah | Other | 841433992CO1 | PUBLIC EMPLOYEES HEALTH P |
| Utah | Other | 107007620101 | PUBLIC EMPLOYEES HEALTH P |
| Utah | Other | 09-00136 | PUBLIC EMPLOYEES HEALTH P |
| Utah | Other | TPRA09041 | PUBLIC EMPLOYEES HEALTH P |
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