Coopman, Brook Ann
Coopman, Brook Ann is an individual health care provider with primary practice located at 620 Smith Ave , Oconto WI 54153-1080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coopman, Brook Ann can be contacted via phone (920) 834-4110.Contact Information
Primary practice address
620 Smith Ave
Oconto WI 54153-1080
Phone: (920) 834-4110
Fax: (920) 834-4117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15139-33 | Wisconsin |
Profile Details
| NPI number | 1760241525 |
|---|---|
| LBN Legal business name | Coopman, Brook Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2024 |
| Last updated | May 3rd, 2024 - about 2 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 | 1760241525 | NPPES |
| Wisconsin | MEDICAID | 100272586 |
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