Cooper, Joel D
Cooper, Joel D is an individual health care provider with primary practice located at 3400 Spruce Street 6 White Bldg, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Cooper, Joel D can be contacted via phone (215) 615-1793.Contact Information
Primary practice address
3400 Spruce Street 6 White Bldg
Philadelphia PA 19104
Phone: (215) 615-1793
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD427084 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 25MA08845900 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD427084 | Pennsylvania |
Profile Details
| NPI number | 1770529729 |
|---|---|
| LBN Legal business name | Cooper, Joel D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Dec 10th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770529729 | NPPES |
| Pennsylvania | MEDICAID | 1013634070001 |
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