Cooper, Roy Edward

Cooper, Roy Edward is an individual health care provider with primary practice located at 4802 E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cooper, Roy Edward can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802 E Johnson Ave Jonesboro AR 72401-8413
Fax: (870) 934-3633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C-8114 Arkansas

Profile Details

NPI number 1922179522
LBN Legal business name Cooper, Roy Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Oct 11th, 2018 - about 8 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 1922179522 NPPES
Arkansas MEDICAID 129515001

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