Cooke, Jacob Tanner

Cooke, Jacob Tanner is an sole proprietor health care provider with primary practice located at 140 Kimberly Dr , Mount Airy NC 27030-9604. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Cooke, Jacob Tanner can be contacted via phone (336) 648-0007.

Contact Information

Primary practice address
140 Kimberly Dr Mount Airy NC 27030-9604
Phone: (336) 648-0007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9885 North Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14061396 North Carolina

Profile Details

NPI number 1346584885
LBN Legal business name Cooke, Jacob Tanner
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2012
Last updated Nov 21st, 2012 - about 14 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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