Cook, Timothy G

Cook, Timothy G is an sole proprietor health care provider with primary practice located at 1800 N Indian Cyn Dr Ste E-324 , Palm Springs CA 92262-2918. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Cook, Timothy G can be contacted via phone (310) 829-2118.

Contact Information

Primary practice address
1800 N Indian Cyn Dr Ste E-324 Palm Springs CA 92262-2918
Phone: (310) 829-2118
Fax: (310) 829-2004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU330 California
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA2106 California

Profile Details

NPI number 1215075155
LBN Legal business name Cook, Timothy G
Credentials A.U. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Oct 2nd, 2018 - about 8 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 1215075155 NPPES
California MEDICAID AU003300

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