Cooper, Jason Tyrone
Cooper, Jason Tyrone is an individual health care provider with primary practice located at 3628 Madison Ave Ste 7 , North Highlands CA 95660-5070. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Cooper, Jason Tyrone can be contacted via phone (916) 840-1413.Contact Information
Primary practice address
3628 Madison Ave Ste 7
North Highlands CA 95660-5070
Phone: (916) 840-1413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | California |
Profile Details
| NPI number | 1750921110 |
|---|---|
| LBN Legal business name | Cooper, Jason Tyrone |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2020 |
| Last updated | Nov 22nd, 2022 - about 4 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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