Cook, Mary Jane
Cook, Mary Jane is an individual health care provider with primary practice located at 804 Service Road Room A142, East Lansing MI 48824-7039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Mary Jane can be contacted via phone (517) 355-3503.Contact Information
Primary practice address
804 Service Road Room A142
East Lansing MI 48824-7039
Phone: (517) 355-3503
Fax: (517) 432-3742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704114553 | Michigan |
Profile Details
| NPI number | 1467679928 |
|---|---|
| LBN Legal business name | Cook, Mary Jane |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jun 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467679928 | NPPES |
| Michigan | MEDICAID | 5202009 |
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