Cooperstein, Krista Ann

Cooperstein, Krista Ann is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cooperstein, Krista Ann can be contacted via phone (360) 397-3460.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Fax: (360) 604-1761
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60071863 Washington

Profile Details

NPI number 1043456130
LBN Legal business name Cooperstein, Krista Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2008
Last updated Nov 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043456130 NPPES
Washington MEDICAID 8535171

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