NPI 1417658048 · live from the CMS NPI Registry
Shauna Mae Cooper, RT(R)
Radiology, Diagnostic Radiology in Chillicothe, OH. National Provider Identifier 1417658048, active.
NPI record
| NPI | 1417658048 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 17273 State Route 104, Chillicothe, OH 45601 |
| Practice phone | 740-773-1141 |
| Mailing address | 32 Circle Dr, South Shore, KY 41175 |
| Enumerated | March 10, 2023 |
| Last updated | March 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | R8882066 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.