Cooper, David W

Cooper, David W is an individual health care provider with primary practice located at 30809 First Ave. S. , Federal Way WA 98003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Cooper, David W can be contacted via phone (253) 839-2030.

Contact Information

Primary practice address
30809 First Ave. S. Federal Way WA 98003
Phone: (253) 839-2030
Fax: (253) 839-1071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006874 Washington

Profile Details

NPI number 1104837574
LBN Legal business name Cooper, David W
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 1st, 2011 - about 15 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 1104837574 NPPES
Washington Other 0235309 STATE L&I
Washington Other 0235308 STATE L&I
Washington Other 0235310 STATE L&I
Washington Other 0232295 STATE L&I
Washington Other 0232298 STATE L&I
Washington Other 0197067 STATE L&I

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