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Contact Information

BRIAN K COOPER, PA
275 11TH ST S
WAHPETON, ND58075-4655
 Phone: 701-642-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN K COOPER · (Male)

NPI # 1053563957
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/22/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ND License # PAC0404
Hospital affiliation(s)
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
  • ST FRANCIS HEALTHCARE CAMPUS - (Critical Access)
    2400 ST FRANCIS DRIVE
    BRECKENRIDGE, MN 56520
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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