Cook, Anthony Charles

Cook, Anthony Charles is an individual health care provider with primary practice located at 121 Coulter Ave Suite 109, Ardmore PA 19003-2418. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cook, Anthony Charles can be contacted via phone (610) 645-6314.

Contact Information

Primary practice address
121 Coulter Ave Suite 109 Ardmore PA 19003-2418
Phone: (610) 645-6314
Fax: (610) 645-9923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006189 Pennsylvania

Profile Details

NPI number 1740596899
LBN Legal business name Cook, Anthony Charles
Credentials DPM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2010
Last updated Sep 18th, 2013 - 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 1740596899 NPPES
Pennsylvania Other SC006189 PA STATE LICENSE, PODIATRY

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