Cooke, Thomas R

Cooke, Thomas R is an individual health care provider with primary practice located at 4254 Jackson Hwy , Chehalis WA 98532-8424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Cooke, Thomas R can be contacted via phone (360) 996-6603.

Contact Information

Primary practice address
4254 Jackson Hwy Chehalis WA 98532-8424
Phone: (360) 996-6603
Fax: (360) 996-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OP00000823 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00000823 Washington

Profile Details

NPI number 1255427902
LBN Legal business name Cooke, Thomas R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 8th, 2024 - about last year

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 1255427902 NPPES
Washington MEDICAID 2182956

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