Cooper, Scott R

Cooper, Scott R is an individual health care provider with primary practice located at 1275 Elm St , West Springfield MA 01089-1820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Cooper, Scott R can be contacted via phone (413) 785-1153.

Contact Information

Primary practice address
1275 Elm St West Springfield MA 01089-1820
Phone: (413) 785-1153
Fax: (413) 781-4951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 75800 Massachusetts

Profile Details

NPI number 1235175530
LBN Legal business name Cooper, Scott R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 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 1235175530 NPPES
Massachusetts Other 11538 HEALTH NEW ENGLAND
Massachusetts Other 80222 HEALTH NEW ENGLAND
Massachusetts MEDICAID 3094596 HEALTH NEW ENGLAND
Massachusetts Other J12589 HEALTH NEW ENGLAND
Massachusetts Other 755362 HEALTH NEW ENGLAND

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