Cook, Roger A
Cook, Roger A is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cook, Roger A can be contacted via phone (208) 239-1000.Contact Information
Primary practice address
777 Hospital Way
Pocatello ID 83201-5175
Phone: (208) 239-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M11396 | Idaho |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11302 | Montana |
Profile Details
| NPI number | 1003966227 |
|---|---|
| LBN Legal business name | Cook, Roger A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Feb 25th, 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 | 1003966227 | NPPES |
| Idaho | Other | M11396 | IDAHO MEDICAL LICENSE |
| Idaho | Other | 11302 | IDAHO MEDICAL LICENSE |
| Idaho | MEDICAID | 1003966227 | IDAHO MEDICAL LICENSE |
Popular Providers
-
Huff, Daniel M
5245 Country Club Dr , Pocatello ID 83204-4676 -
Knox, Philip James
333 N 18Th Ave Bldg A, Pocatello ID 83201-3358 -
Brooks, Jeffrey C
2900 Lamb Cir Ste 340, Christiansburg VA 24073-6344 -
Demarino, John W
1901 Tate Springs Rd , Lynchburg VA 24501-1109 -
Depper, Jane A.
1100 Central Ave Se , Albuquerque NM 87106-4930 -
Runyan, Richard Willis
150 Vista Dr , Pocatello ID 83201-5824 -
Vigna, Lucia
24 Stevens St , Norwalk CT 06850-3852 -
Traul, John Benjamin
333 N 18Th Ave Ste A , Pocatello ID 83201-3358