Cooper, David
Cooper, David is an individual health care provider with primary practice located at 415 E Cook Rd Ste 100, Fort Wayne IN 46825-3636. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Cooper, David can be contacted via phone (260) 489-6030.Contact Information
Primary practice address
415 E Cook Rd Ste 100
Fort Wayne IN 46825-3636
Phone: (260) 489-6030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34000392 | Indiana |
Profile Details
| NPI number | 1902862410 |
|---|---|
| LBN Legal business name | Cooper, David |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Mar 28th, 2008 - about 18 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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