Cook, Jr., Vernon Dale

Cook, Jr., Vernon Dale is an individual health care provider with primary practice located at 401 E Chestnut St Ste 401, Louisville KY 40202-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Cook, Jr., Vernon Dale can be contacted via phone (502) 588-4400.

Contact Information

Primary practice address
401 E Chestnut St Ste 401 Louisville KY 40202-5700
Phone: (502) 588-4400
Fax: (502) 588-4401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 27624 Kentucky

Profile Details

NPI number 1487672663
LBN Legal business name Cook, Jr., Vernon Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 18th, 2016 - about 10 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 1487672663 NPPES
Indiana MEDICAID 100332360
Indiana Other 000000047616
Indiana Other 1049373
Indiana Other 1049364
Indiana Other 1049370
Indiana MEDICAID 64276249
Indiana Other 000000062432

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