Cook, Mark W
Cook, Mark W is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cook, Mark W can be contacted via phone (605) 719-1331.Contact Information
Primary practice address
353 Fairmont Blvd
Rapid City SD 57701-7375
Phone: (605) 719-1331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 363 | South Dakota |
Profile Details
| NPI number | 1699876888 |
|---|---|
| LBN Legal business name | Cook, Mark W |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| 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 | 1699876888 | NPPES |
| South Dakota | MEDICAID | 6552050 |
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