Cooper, Robert Wayne

Cooper, Robert Wayne is an individual health care provider with primary practice located at 475 N Highway 25 W # Wn Suite 100, Williamsburg KY 40769-1576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Robert Wayne can be contacted via phone (606) 549-2933.

Contact Information

Primary practice address
475 N Highway 25 W # Wn Suite 100 Williamsburg KY 40769-1576
Phone: (606) 549-2933
Fax: (606) 549-3036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18598 Kentucky

Profile Details

NPI number 1194729525
LBN Legal business name Cooper, Robert Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 12th, 2025 - about last year

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 1194729525 NPPES
Missouri MEDICAID 201533510
Missouri Other 135570021
Missouri Other 3518
Missouri Other P00792573
Missouri MEDICAID Q020836
Missouri Other 115556
Missouri MEDICAID 7100398340

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