Individual
JUSTIN R COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5757
(812) 376-5058
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003003A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
71003003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201112920
—
IN
Enumeration date
04/30/2009
Last updated
09/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us