Cook, Richard Myles
Cook, Richard Myles is an individual health care provider with primary practice located at 1630 Hospital Dr Suite A, Santa Fe NM 87505-4772. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cook, Richard Myles can be contacted via phone (505) 424-0200.Contact Information
Primary practice address
1630 Hospital Dr Suite A
Santa Fe NM 87505-4772
Phone: (505) 424-0200
Fax: (505) 424-6608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 96PA-21 | New Mexico |
Profile Details
| NPI number | 1558381442 |
|---|---|
| LBN Legal business name | Cook, Richard Myles |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Apr 8th, 2013 - about 13 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 | 1558381442 | NPPES |
| New Mexico | MEDICAID | L9125 |
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