Cooke, Peter H

Cooke, Peter H is an individual health care provider with primary practice located at 1717 N High St , Lansing MI 48906-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cooke, Peter H can be contacted via phone (517) 371-1700.

Contact Information

Primary practice address
1717 N High St Lansing MI 48906-4529
Phone: (517) 371-1700
Fax: (517) 268-6609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X PC049423 Michigan

Profile Details

NPI number 1578767406
LBN Legal business name Cooke, Peter H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 15th, 2015 - about 11 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 1578767406 NPPES
Michigan Other 1103312751 BCBS
Michigan Other PC049423 BCBS
Michigan MEDICAID 3148943 BCBS

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