Cooper, Amanda S.

Cooper, Amanda S. is an individual health care provider with primary practice located at 8100 Ravines Edge Ct Ste 100 , Columbus OH 43235-5426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Cooper, Amanda S. can be contacted via phone (614) 488-5090.

Contact Information

Primary practice address
8100 Ravines Edge Ct Ste 100 Columbus OH 43235-5426
Phone: (614) 488-5090
Fax: (614) 845-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35.090294 Ohio

Profile Details

NPI number 1619049459
LBN Legal business name Cooper, Amanda S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 30th, 2021 - about 5 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 1619049459 NPPES
Ohio Other P00418673 RR MEDICARE

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