Cook, John R

Cook, John R is an sole proprietor health care provider with primary practice located at 2110 Woodside Executive Ct , Aiken SC 29803-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cook, John R can be contacted via phone (803) 644-8900.

Contact Information

Primary practice address
2110 Woodside Executive Ct Aiken SC 29803-3809
Phone: (803) 644-8900
Fax: (803) 644-8995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11685 South Carolina

Profile Details

NPI number 1962406900
LBN Legal business name Cook, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Aug 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962406900 NPPES
South Carolina Other E929440282 MCR/MCCORMICK OFFICE
South Carolina MEDICAID GP2477 MCR/MCCORMICK OFFICE

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