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Individual

DR. PATRICK J. COOLEY

Active
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Individual

DR. PATRICK J. COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., P.T.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001110
VT
225100000X
Physical Therapist
040-0003483
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058751
BCBS PT INDIVIDUAL
—
01
—
00058780
BCBS INDIVIDUAL CHIRO
—
01
—
10102836
CDPHP
—
01
—
383814
MVP PT
—
01
—
4260800
CIGNA
—
01
—
610903200
EMPLY STANADARDS ADM CHIR
—
01
—
610903300
EMPLYMNT STANDRDS ADMN PT
—
01
—
Q29P4
EMPIREBLUECROSSBLUESHIELD
NY
01
—
X09C0
EMPIREBLUECROSSBLUESHIELD
NY
01
—
X09C01
EMPIREBCBSCHIRO
NY
Enumeration date
06/15/2006
Last updated
03/21/2014
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