Cooper, Martin

Cooper, Martin is an sole proprietor health care provider with primary practice located at 1927 Nicholas Dr , Huntingdon Valley PA 19006-7930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Martin can be contacted via phone (215) 947-9784.

Contact Information

Primary practice address
1927 Nicholas Dr Huntingdon Valley PA 19006-7930
Phone: (215) 947-9784
Fax: (215) 947-7223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD27137L Pennsylvania

Profile Details

NPI number 1043324718
LBN Legal business name Cooper, Martin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 19 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 1043324718 NPPES
Pennsylvania Other 0045688000 INDEPENDENCE BLUE CROSS
Pennsylvania Other 015692 INDEPENDENCE BLUE CROSS

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