Cooper, Charita Nicole

Cooper, Charita Nicole is an sole proprietor health care provider with primary practice located at 16705 Square Dr , Marysville OH 43040-8722. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Cooper, Charita Nicole can be contacted via phone (937) 642-4400.

Contact Information

Primary practice address
16705 Square Dr Marysville OH 43040-8722
Fax: (937) 642-4443
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3186 Ohio

Profile Details

NPI number 1689606436
LBN Legal business name Cooper, Charita Nicole
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Apr 5th, 2013 - about 13 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 1689606436 NPPES
Ohio MEDICAID 2326049

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