Cooper, Joe B

Cooper, Joe B is an sole proprietor health care provider with primary practice located at 306 Westwood Ave , Jackson TN 38301-4324. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cooper, Joe B can be contacted via phone (731) 217-0276.

Contact Information

Primary practice address
306 Westwood Ave Jackson TN 38301-4324
Phone: (731) 217-0276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 947 Tennessee

Profile Details

NPI number 1598981169
LBN Legal business name Cooper, Joe B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jan 12th, 2009 - about 17 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 1598981169 NPPES
Tennessee MEDICAID 1505295
Tennessee Other 4158899

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