Cook, Michael G
Cook, Michael G is an individual health care provider with primary practice located at 3044 Goodman Road East , Southaven MS 38672-8760. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cook, Michael G can be contacted via phone (662) 349-1660.Contact Information
Primary practice address
3044 Goodman Road East
Southaven MS 38672-8760
Phone: (662) 349-1660
Fax: (662) 349-1663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 467 | Mississippi |
Profile Details
| NPI number | 1457360679 |
|---|---|
| LBN Legal business name | Cook, Michael G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 30th, 2008 - about 18 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 | 1457360679 | NPPES |
| Mississippi | MEDICAID | 00880118 |
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