Cooper, Destiny
Cooper, Destiny is an individual health care provider with primary practice located at 99 Cracker Barrel Dr Suite 200, Barboursville WV 25504-1650. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Cooper, Destiny can be contacted via phone (304) 733-4616.Contact Information
Primary practice address
99 Cracker Barrel Dr Suite 200
Barboursville WV 25504-1650
Phone: (304) 733-4616
Fax: (304) 733-4818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 951 | West Virginia |
Profile Details
| NPI number | 1013257377 |
|---|---|
| LBN Legal business name | Cooper, Destiny |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2013 |
| Last updated | Oct 17th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013257377 | NPPES |
| West Virginia | MEDICAID | 3810026296 |
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