1255451829 NPI number — MR. EARLY B. COOPER LMPH, LADC, CPC

Table of content: MR. EARLY B. COOPER LMPH, LADC, CPC (NPI 1255451829)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255451829 NPI number — MR. EARLY B. COOPER LMPH, LADC, CPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COOPER
Provider First Name:
EARLY
Provider Middle Name:
B.
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LMPH, LADC, CPC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255451829
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2512 CORBY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68111-3320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-451-5462
Provider Business Mailing Address Fax Number:
402-451-5462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3040 LAKE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68111-3700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-813-2505
Provider Business Practice Location Address Fax Number:
402-451-5462
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  1997 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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