| Jill Cooper Llc | |
|
19 Cypress St Concord NH 03301-2315 | |
| (603) 219-6400 | |
| Not Available |
| Full Name | Jill Cooper Llc |
|---|---|
| Speciality | Social Worker |
| Location | 19 Cypress St, Concord, New Hampshire |
| Authorized Official Name and Position | Jill Cooper (LLC MEMBER) |
| Authorized Official Contact | 6032196400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Cooper Llc 19 Cypress St Concord NH 03301-2315 Ph: () - | Jill Cooper Llc 19 Cypress St Concord NH 03301-2315 Ph: (603) 219-6400 |
| NPI Number | 1649008376 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Medicare PECOS PAC ID | 3375074768 |
|---|---|
| Medicare Enrollment ID | O20241009003948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649008376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jill E Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699503326 PECOS PAC ID: 6305377797 Enrollment ID: I20241009003818 |
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