Healthcare Provider Details

I. General information

NPI: 1922937895
Provider Name (Legal Business Name): COOPER ALAN KREBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5566 NEWTONSVILLE HUTCHINSON RD
BATAVIA OH
45103-8515
US

IV. Provider business mailing address

5566 NEWTONSVILLE HUTCHINSON RD
BATAVIA OH
45103-8515
US

V. Phone/Fax

Practice location:
  • Phone: 513-781-5277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: