SearchOhio164W00000X

Jason Cooper

NPI 1710253133 · on the registry since 2012 · sole proprietor

Practice

Address
10282 Gallia Pike Rd
Wheelersburg, OH 45694
Phone
(681) 203-3252

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio