Search › Indiana › 2086S0102X
Jac Cooper, M.D
NPI 1760487425 · on the registry since 2005
Practice
- Address
- 85 E Us Highway 6 Ste 240
Valparaiso, IN 46383 - Phone
- (219) 983-6240
- Fax
- (219) 983-6040
- Organisation at this address
- Porter Hospital Llc
Porter Hospital Llc
Bose Plastic Surgery Llc
Porter Emergency Group, Pc
Porter Group Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 127
Additional practice sites
- 2000 Roosevelt Rd Ste 104, Valparaiso, IN
- 3630 Willowcreek Rd, Portage, IN
- 3630 Willowcreek Rd, Portage, IN
Registry record
- Primary taxonomy
- 2086S0102X
2086S0102X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-14
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 Indiana