Scott A. Cooper
Emergency Physician
405 W Jackson St Memorial Hospital
Carbondale
, Illinois 62901-1462
Scott A. Cooper
Emergency Physician
405 W Jackson St Memorial Hospital
Carbondale
, Illinois 62901-1462
(618) 529-0449
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Scott A. Cooper
- 405 W Jackson St Memorial Hospital
- Carbondale, IL
- Zip : 62901-1462
- Fax : (618) 529-0449
- Phone : (618) 549-0721
Second Address
- Scott A. Cooper
- 405 W Jackson St Memorial Hospital
- Carbondale, IL
- Zip : 62901-1462
- Fax : (618) 529-0449
- Phone : (618) 549-0721
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 036064861 | IL |
National Provider Identifier
| NPI | 1003999228 |
|---|---|
| Provider Name | Scott A. Cooper |
| First Address | Carbondale, IL 62901-1462 |
| Second Address | Carbondale, IL 62901-1462 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 13/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036064861 | (05) | IL |
| E17838 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.