Cook, Charles Milton
Cook, Charles Milton is an individual health care provider with primary practice located at 3333 Riverbend Dr , Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cook, Charles Milton can be contacted via phone (541) 222-3154.Contact Information
Primary practice address
3333 Riverbend Dr
Springfield OR 97477-8800
Phone: (541) 222-3154
Fax: (541) 222-3359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD14613 | Oregon |
Profile Details
| NPI number | 1275508574 |
|---|---|
| LBN Legal business name | Cook, Charles Milton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Oct 27th, 2020 - about 4 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 | 1275508574 | NPPES |
| Oregon | Other | 050005893 | RR MEDICARE |
| Oregon | MEDICAID | 1020130 | RR MEDICARE |
| Oregon | MEDICAID | 178970 | RR MEDICARE |
| Oregon | MEDICAID | XPY194083 | RR MEDICARE |
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