Individual
DR. ALAN R COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2645 ERIE DR, WEEDSPORT, NY 13166-3203
(315) 834-9614
(315) 834-9985
Mailing address
2645 ERIE DR, WEEDSPORT, NY 13166-3203
(315) 834-9614
(315) 834-9985
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000023032
BLUE CROSS BLUE SHIELD
NY
01
—
C08005-3
WORKER'S COMP
NY
Enumeration date
05/09/2006
Last updated
02/09/2009
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