Cook, Bruce R

Cook, Bruce R is an individual health care provider with primary practice located at 354 Merrimack St , Lawrence MA 01843-1754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cook, Bruce R can be contacted via phone (978) 687-2321.

Contact Information

Primary practice address
354 Merrimack St Lawrence MA 01843-1754
Fax: (978) 722-7287
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 7608 New Hampshire
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 57712 Massachusetts

Profile Details

NPI number 1225024128
LBN Legal business name Cook, Bruce R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Mar 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225024128 NPPES
Massachusetts MEDICAID 3023249
Massachusetts Other 4471849
Massachusetts Other 0109258Y0MA01
Massachusetts Other 05-00252
Massachusetts Other 0888895-001
Massachusetts Other 11514
Massachusetts Other 0003743
Massachusetts Other 06-00015
Massachusetts Other 23487
Massachusetts Other 715261
Massachusetts MEDICAID 30002081
Massachusetts Other J06331

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