Cooper, Octavia

Cooper, Octavia is an individual health care provider with primary practice located at 1930 S Broad St , Philadelphia PA 19145-2328. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Cooper, Octavia can be contacted via phone (215) 339-4343.

Contact Information

Primary practice address
1930 S Broad St Philadelphia PA 19145-2328
Phone: (215) 339-4343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN-322666L Pennsylvania

Profile Details

NPI number 1104192236
LBN Legal business name Cooper, Octavia
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 22nd, 2012 - about 14 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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