Cooper, Benjamin John

Cooper, Benjamin John is an sole proprietor health care provider with primary practice located at 309 E 1St Ave , Easley SC 29640-3040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cooper, Benjamin John can be contacted via phone (864) 850-2663.

Contact Information

Primary practice address
309 E 1St Ave Easley SC 29640-3040
Phone: (864) 850-2663
Fax: (864) 522-5785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 94-09179 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 87466 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 87466 South Carolina

Profile Details

NPI number 1750810560
LBN Legal business name Cooper, Benjamin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2017
Last updated Nov 9th, 2022 - about 3 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 1750810560 NPPES
South Carolina MEDICAID 874664

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