Cooter, Michael Stephen

Cooter, Michael Stephen is an individual health care provider with primary practice located at 1 Doctors Drive , Greenville SC 29605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Cooter, Michael Stephen can be contacted via phone (864) 572-7001.

Contact Information

Primary practice address
1 Doctors Drive Greenville SC 29605
Phone: (864) 572-7001
Fax: (864) 412-0436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 20049 South Carolina

Profile Details

NPI number 1326094046
LBN Legal business name Cooter, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 2nd, 2021 - about 5 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 1326094046 NPPES
South Carolina Other P00816916 RR MEDICARE
South Carolina MEDICAID T41693 RR MEDICARE
South Carolina Other P00836348 RR MEDICARE

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