Cooper, Jamie L

Cooper, Jamie L is an individual health care provider with primary practice located at 1205 Hadley Rd , Mooresville IN 46158-1737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Cooper, Jamie L can be contacted via phone (317) 584-3454.

Contact Information

Primary practice address
1205 Hadley Rd Mooresville IN 46158-1737
Phone: (317) 584-3454
Fax: (317) 584-3435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02002828A Indiana

Profile Details

NPI number 1629017199
LBN Legal business name Cooper, Jamie L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 1st, 2019 - about 7 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 1629017199 NPPES
Indiana Other 000000720579 ANTHEM
Indiana Other 7554169 ANTHEM
Indiana Other 000000480530 ANTHEM
Indiana MEDICAID 200543500 ANTHEM
Indiana Other 1935002 ANTHEM

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