Cooper, Shawn Richard

Cooper, Shawn Richard is an individual health care provider with primary practice located at 1020 S Main St , Salt Lake City UT 84101-3176. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Cooper, Shawn Richard can be contacted via phone (801) 539-7000.

Contact Information

Primary practice address
1020 S Main St Salt Lake City UT 84101-3176
Phone: (801) 539-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2899916004 Utah

Profile Details

NPI number 1255304481
LBN Legal business name Cooper, Shawn Richard
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 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 1255304481 NPPES
Utah Other 28999160000001 BLUE CROSS
Utah Other 885236 BLUE CROSS
Utah Other 107035235101 BLUE CROSS

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