Cooke, Rebecca

Cooke, Rebecca is an individual health care provider with primary practice located at 118 Herron Street , Ft Oglethorpe GA 30742. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cooke, Rebecca can be contacted via phone (706) 861-7471.

Contact Information

Primary practice address
118 Herron Street Ft Oglethorpe GA 30742
Phone: (706) 861-7471
Fax: (706) 861-7472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006212 Georgia

Profile Details

NPI number 1174691828
LBN Legal business name Cooke, Rebecca
Credentials SPEECH THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 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 1174691828 NPPES
Other 10052516 AMERIGROUP
Other 4115304 AMERIGROUP
Other 339819 AMERIGROUP

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