Cooper, M. Elizabeth

Cooper, M. Elizabeth is an individual health care provider with primary practice located at 1302 Franklin Ave #4800, Normal IL 61761-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, M. Elizabeth can be contacted via phone (309) 454-5900.

Contact Information

Primary practice address
1302 Franklin Ave #4800 Normal IL 61761-3551
Phone: (309) 454-5900
Fax: (309) 454-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-005282 Illinois

Profile Details

NPI number 1437106762
LBN Legal business name Cooper, M. Elizabeth
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 6th, 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 1437106762 NPPES
Illinois Other 05732097 BCBS
Illinois Other 105322 BCBS
Illinois Other 906770 BCBS

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