Cooperberg, Charles Ian

Cooperberg, Charles Ian is an individual health care provider with primary practice located at 4419 Ben Franklin Blvd , Durham NC 27704-2147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cooperberg, Charles Ian can be contacted via phone (919) 477-3005.

Contact Information

Primary practice address
4419 Ben Franklin Blvd Durham NC 27704-2147
Phone: (919) 477-3005
Fax: (919) 477-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 32098 North Carolina

Profile Details

NPI number 1073530655
LBN Legal business name Cooperberg, Charles Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 18th, 2007 - about 18 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 1073530655 NPPES
North Carolina MEDICAID 8924146

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