Cook, Jason T.
Cook, Jason T. is an individual health care provider with primary practice located at 7230 Engle Rd Ste 304, Fort Wayne IN 46804-2209. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cook, Jason T. can be contacted via phone (260) 483-2400.Contact Information
Primary practice address
7230 Engle Rd Ste 304
Fort Wayne IN 46804-2209
Phone: (260) 483-2400
Fax: (260) 960-9361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041587A | Indiana |
Profile Details
| NPI number | 1043283641 |
|---|---|
| LBN Legal business name | Cook, Jason T. |
| Credentials | PSY.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Oct 2nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043283641 | NPPES |
| Indiana | MEDICAID | 200290630 |
Popular Providers
-
Osborne, Diana
11104 Parkview Circle Dr Ste 110, Fort Wayne IN 46845-1730 -
Hoffman, Kurt M.
130 W Main St Suite L, Fort Wayne IN 46802-1712 -
Carlson, Ina S.
1909 Carew St , Fort Wayne IN 46805-4707 -
Salon, Scott W
2121 Lake Ave , Fort Wayne IN 46805-5100 -
Von Bargen, Wayne James
1910 Saint Joe Center Rd Suite 44, Fort Wayne IN 46825-5000 -
Leib, Jere W
3421 E State Blvd , Fort Wayne IN 46805-4830 -
Roy, Kathleen Marie
2100 Goshen Rd , Fort Wayne IN 46808-1493 -
Ross, Stephen Gerard
4630 W Jefferson Blvd Ste 5 , Fort Wayne IN 46804-6800