Cooper, Dylan

Cooper, Dylan is an individual health care provider with primary practice located at 1701 N Senate Blvd Dg 412, Indianapolis IN 46202-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cooper, Dylan can be contacted via phone (317) 962-3886.

Contact Information

Primary practice address
1701 N Senate Blvd Dg 412 Indianapolis IN 46202-1239
Phone: (317) 962-3886
Fax: (317) 962-8652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01057804A Indiana

Profile Details

NPI number 1700996444
LBN Legal business name Cooper, Dylan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700996444 NPPES
Indiana MEDICAID 200068470
Indiana Other 000000366968

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