Cook, Brian William
Cook, Brian William is an individual health care provider with primary practice located at 2920 Mcintire Drive Suite 250, Bloomington IN 47403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cook, Brian William can be contacted via phone (812) 332-9217.Contact Information
Primary practice address
2920 Mcintire Drive Suite 250
Bloomington IN 47403
Phone: (812) 332-9217
Fax: (812) 330-4474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01064947A | Indiana |
Profile Details
| NPI number | 1962688895 |
|---|---|
| LBN Legal business name | Cook, Brian William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2008 |
| Last updated | Dec 3rd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962688895 | NPPES |
| Indiana | MEDICAID | 200897380 |
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