Cook, Glenn

Cook, Glenn is an individual health care provider with primary practice located at 7877 Parkway Dr Suite 100, La Mesa CA 91942-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cook, Glenn can be contacted via phone (619) 460-3711.

Contact Information

Primary practice address
7877 Parkway Dr Suite 100 La Mesa CA 91942-2000
Phone: (619) 460-3711
Fax: (619) 460-2184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G63727 California

Profile Details

NPI number 1013078427
LBN Legal business name Cook, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013078427 NPPES
California Other 0802380001 NORIDIAN PROVIDER NUMBER
California MEDICAID 00G637271 NORIDIAN PROVIDER NUMBER
California Other 0802380003 NORIDIAN PROVIDER NUMBER

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