Individual
DON S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6 LASALLE ST, VINELAND, NJ 08360-4224
(856) 691-1313
Mailing address
6 LASALLE ST, VINELAND, NJ 08360-4224
(856) 691-1313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00163200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123871X72
MEDICARE PTAN
NJ
Enumeration date
02/22/2008
Last updated
03/14/2016
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