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
Phone: (360) 397-3460
Fax: (360) 604-1761
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043456130 | NPPES |
| Washington | MEDICAID | 8535171 |
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