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Contact Information

CHAD M COOPER, DPM
929 N MAIN ST
LONDON, KY40741-1122
 Phone: 606-862-0956
 Fax: 606-862-0955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHAD M COOPER · (Male)

NPI # 1912344011
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/29/2013
Last updated 04/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 00466
  • KY Medicaid 7100449460
Hospital affiliation(s) Not Available
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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