Cooke, Robert Jay

Cooke, Robert Jay is an individual health care provider with primary practice located at 5 Shrewsbury St Ste D , Holden MA 01520-1960. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cooke, Robert Jay can be contacted via phone (508) 829-3800.

Contact Information

Primary practice address
5 Shrewsbury St Ste D Holden MA 01520-1960
Phone: (508) 829-3800
Fax: (508) 829-3802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA828 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1639275662
LBN Legal business name Cooke, Robert Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 16th, 2023 - about 3 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 1639275662 NPPES
Massachusetts MEDICAID 1101007374A

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