Cook, Corie Sue

Cook, Corie Sue is an individual health care provider with primary practice located at 16 12 Ave S Suite 103, Nampa ID 83704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cook, Corie Sue can be contacted via phone (208) 461-3720.

Contact Information

Primary practice address
16 12 Ave S Suite 103 Nampa ID 83704
Fax: (208) 461-1787
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LMSW26741 Idaho

Profile Details

NPI number 1487711305
LBN Legal business name Cook, Corie Sue
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1487711305 NPPES
Idaho Other 00010154131 REGENCE
Idaho Other X6886 REGENCE

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