Cooke, Carol A

Cooke, Carol A is an individual health care provider with primary practice located at 6438 Wilmington Pike Suite 300, Centerville OH 45459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cooke, Carol A can be contacted via phone (937) 848-4850.

Contact Information

Primary practice address
6438 Wilmington Pike Suite 300 Centerville OH 45459
Phone: (937) 848-4850
Fax: (937) 848-4858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X RN212344 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA05642NP Ohio

Profile Details

NPI number 1144496985
LBN Legal business name Cooke, Carol A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Jan 28th, 2021 - about 5 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 1144496985 NPPES
Ohio Other RX05642 CERTIFICATE TO PRESCRIBE
Ohio MEDICAID 0074036 CERTIFICATE TO PRESCRIBE
Ohio Other COA05642NP CERTIFICATE TO PRESCRIBE

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