Cook, Russel Clifford

Cook, Russel Clifford is an individual health care provider with primary practice located at 1206 Brown St , Washington NC 27889-4671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cook, Russel Clifford can be contacted via phone (252) 946-4134.

Contact Information

Primary practice address
1206 Brown St Washington NC 27889-4671
Phone: (252) 946-4134
Fax: (252) 946-2432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23686 North Carolina

Profile Details

NPI number 1497867949
LBN Legal business name Cook, Russel Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497867949 NPPES
North Carolina Other 24043 BCBS
North Carolina MEDICAID 8924043 BCBS

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