Cooper, Susan
Cooper, Susan is an individual health care provider with primary practice located at 5900 Monona Dr Ste 312 , Monona WI 53716-3561. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooper, Susan can be contacted via phone (608) 571-3560.Contact Information
Primary practice address
5900 Monona Dr Ste 312
Monona WI 53716-3561
Phone: (608) 571-3560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1497268296 |
|---|---|
| LBN Legal business name | Cooper, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2017 |
| Last updated | Nov 15th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497268296 | NPPES |
| Wisconsin | Other | 49108 | BILLING ID NUMBER |
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