Cooper, Vidette V
Cooper, Vidette V is an individual health care provider with primary practice located at 803 Tilghman Dr Suite 100, Dunn NC 28334-5509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooper, Vidette V can be contacted via phone (910) 892-1091.Contact Information
Primary practice address
803 Tilghman Dr Suite 100
Dunn NC 28334-5509
Phone: (910) 892-1091
Fax: (910) 892-1097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22230 | South Carolina |
Profile Details
| NPI number | 1568420107 |
|---|---|
| LBN Legal business name | Cooper, Vidette V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 11th, 2014 - about 12 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 | 1568420107 | NPPES |
| North Carolina | MEDICAID | 5909335 | |
| North Carolina | Other | GP4840 | |
| North Carolina | MEDICAID | T64356 | |
| North Carolina | MEDICAID | 764356 | |
| North Carolina | Other | GP4306 | |
| North Carolina | Other | GP1883 |
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