Cooper, Jane Roberta

Cooper, Jane Roberta is an individual health care provider with primary practice located at 120 College Street 600 Plaza Middlesex, Middletown CT 06457-3426. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cooper, Jane Roberta can be contacted via phone (860) 346-8889.

Contact Information

Primary practice address
120 College Street 600 Plaza Middlesex Middletown CT 06457-3426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000320 Connecticut

Profile Details

NPI number 1093891327
LBN Legal business name Cooper, Jane Roberta
Credentials LICENSED PROFESSIONA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1093891327 NPPES
Connecticut Other 240000320CT01 ANTHEM BLUE CROSS BS CT

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