Provider Demographics
NPI:1275882607
Name:COOPER-VANDERHORST, HILARY ERIN
Entity Type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:ERIN
Last Name:COOPER-VANDERHORST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 ALLENBY PLACE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3320
Mailing Address - Country:US
Mailing Address - Phone:937-974-1290
Mailing Address - Fax:
Practice Address - Street 1:1 WYOMING PLACE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45490-2722
Practice Address - Country:US
Practice Address - Phone:937-208-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor