Cooper, Corey Wayne
Cooper, Corey Wayne is an sole proprietor health care provider with primary practice located at 96 Jonathan Lucas St , Charleston SC 29425-8900. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Technologists, Technicians & Other Technical Service Providers / Medical Technologist. Technologists, Technicians & Other Technical Service Providers / Medical Technologist is his primary health care specialty. Cooper, Corey Wayne can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
96 Jonathan Lucas St
Charleston SC 29425-8900
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Technologists, Technicians & Other Technical Service Providers / Medical Technologist | 246QM0706X |
Profile Details
| NPI number | 1518731314 |
|---|---|
| LBN Legal business name | Cooper, Corey Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2023 |
| Last updated | Nov 13th, 2023 - 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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