Cooper, Denise D

Cooper, Denise D is an individual health care provider with primary practice located at 107 S 5Th St , Richmond VA 23219-3825. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cooper, Denise D can be contacted via phone (804) 819-4000.

Contact Information

Primary practice address
107 S 5Th St Richmond VA 23219-3825
Phone: (804) 819-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000196 Virginia

Profile Details

NPI number 1023244936
LBN Legal business name Cooper, Denise D
Credentials LSATP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2009
Last updated Jun 5th, 2009 - about 17 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 1023244936 NPPES
Virginia MEDICAID 4945255

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