JARED B. COOPER – NPI #1043492820
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

JARED COOPER is a health care student located in LACKLAND AFB, TX. NPPES has assigned the NPI number 1043492820 to JARED COOPER on December 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 390200000X from the Health Care Provider Taxonomy code set, which is classified as Student in an Organized Health Care Education/Training Program.

The NPI profile was previously updated about 18 years ago on Sep 11, 2008. See the complete NPI profile for JARED COOPER below.

NPI Profile for
JARED B. COOPER

NPI Number
1043492820
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JARED B. COOPER
Primary location
2200 BERGQUIST DR STE 1
LACKLAND AFB, TX 78236-9908
Phone: (210) 292-5968 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
390200000X
- Student in an Organized Health Care Education/Training Program (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.