Cook, Charles Jack

Cook, Charles Jack is an sole proprietor health care provider with primary practice located at 15095 Amargosa Rd Suite 101, Victorville CA 92394-1879. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Cook, Charles Jack can be contacted via phone (760) 245-4695.

Contact Information

Primary practice address
15095 Amargosa Rd Suite 101 Victorville CA 92394-1879
Phone: (760) 245-4695
Fax: (760) 245-5896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1023203379
LBN Legal business name Cook, Charles Jack
Credentials MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Dec 9th, 2010 - about 15 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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