Cooper-Lewis, Jennifer Anne

Cooper-Lewis, Jennifer Anne is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Cooper-Lewis, Jennifer Anne can be contacted via phone (417) 820-2115.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2115
Fax: (417) 820-5344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 068394 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2015015950 Missouri

Profile Details

NPI number 1720228950
LBN Legal business name Cooper-Lewis, Jennifer Anne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2009
Last updated Dec 2nd, 2015 - about 11 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 1720228950 NPPES
Missouri MEDICAID 1720228950

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