Cook, Mark Steven

Cook, Mark Steven is an sole proprietor health care provider with primary practice located at 945 Wildwood Rd , White Bear Lake MN 55115-1847. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Cook, Mark Steven can be contacted via phone (651) 770-0176.

Contact Information

Primary practice address
945 Wildwood Rd White Bear Lake MN 55115-1847
Phone: (651) 770-0176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 6202 Minnesota

Profile Details

NPI number 1598981102
LBN Legal business name Cook, Mark Steven
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598981102 NPPES
Minnesota Other 6202 LICENSE NUMBER

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