Cook, Mark Anthony
Cook, Mark Anthony is an individual health care provider with primary practice located at 172 Clarkson Executive Park , Ellisville MO 63011-2114. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cook, Mark Anthony can be contacted via phone (636) 230-3113.Contact Information
Primary practice address
172 Clarkson Executive Park
Ellisville MO 63011-2114
Phone: (636) 230-3113
Fax: (636) 230-3044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 01227 | Missouri |
Profile Details
| NPI number | 1841277894 |
|---|---|
| LBN Legal business name | Cook, Mark Anthony |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841277894 | NPPES |
| Other | 5018 | BLUE CROSS BLUE SHIELD MO | |
| Other | 431466627C00 | BLUE CROSS BLUE SHIELD MO | |
| Other | 115397 | BLUE CROSS BLUE SHIELD MO |
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