Cook, Charles W

Cook, Charles W is an individual health care provider with primary practice located at 1050 Isaac Streets Dr #140, Oregon OH 43616-3291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Cook, Charles W can be contacted via phone (419) 698-7722.

Contact Information

Primary practice address
1050 Isaac Streets Dr #140 Oregon OH 43616-3291
Phone: (419) 698-7722
Fax: (419) 698-7723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 35057280 Ohio

Profile Details

NPI number 1992703524
LBN Legal business name Cook, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 20th, 2011 - about 14 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 1992703524 NPPES
Ohio MEDICAID 0711091

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