Cook, Brian L

Cook, Brian L is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Cook, Brian L can be contacted via phone (319) 353-8691.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 353-8691
Fax: (319) 356-2587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01798 Iowa
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 01798 Iowa

Profile Details

NPI number 1114913753
LBN Legal business name Cook, Brian L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 22nd, 2009 - about 16 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 1114913753 NPPES
Iowa Other 20513 WELLMARK BCBS
Iowa MEDICAID 0205138 WELLMARK BCBS

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