Cooper, Tana Kathryn

Cooper, Tana Kathryn is an sole proprietor health care provider with primary practice located at 967 Cedar Lake Rd , Biloxi MS 39532-2128. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cooper, Tana Kathryn can be contacted via phone (228) 205-6814.

Contact Information

Primary practice address
967 Cedar Lake Rd Biloxi MS 39532-2128
Phone: (228) 205-6814
Fax: (228) 392-0864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 20540 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20540 Mississippi

Profile Details

NPI number 1174730519
LBN Legal business name Cooper, Tana Kathryn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 27th, 2022 - about 4 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 1174730519 NPPES
Mississippi MEDICAID 05384293

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