Coopersmith, Kathie Ellen
Coopersmith, Kathie Ellen is an individual health care provider with primary practice located at 5495 S 500 E Ste 120, Ogden UT 84405-6923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coopersmith, Kathie Ellen can be contacted via phone (801) 479-0174.Contact Information
Primary practice address
5495 S 500 E Ste 120
Ogden UT 84405-6923
Phone: (801) 479-0174
Fax: (801) 479-8888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 181607-1205 | Utah |
Profile Details
| NPI number | 1447359039 |
|---|---|
| LBN Legal business name | Coopersmith, Kathie Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447359039 | NPPES |
| Utah | MEDICAID | 841409599001 |
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