Mrs Charita Nicole Cooper, DC | |
16705 Square Dr, Marysville, OH 43040-8722 | |
(937) 642-4400 | |
(937) 642-4443 |
Full Name | Mrs Charita Nicole Cooper |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 23 Years |
Location | 16705 Square Dr, Marysville, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689606436 | NPI | - | NPPES |
2326049 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3186 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Synergy Medical Llc | 8325314354 | 4 |
Provider Name | Synergy Medical Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457887705 PECOS PAC ID: 8325314354 Enrollment ID: O20171019000712 |
Mailing Address | Practice Location Address |
---|---|
Mrs Charita Nicole Cooper, DC 16705 Square Dr, Marysville, OH 43040-8476 Ph: (937) 642-4400 | Mrs Charita Nicole Cooper, DC 16705 Square Dr, Marysville, OH 43040-8722 Ph: (937) 642-4400 |
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