Cook, David Bryan
Cook, David Bryan is an sole proprietor health care provider with primary practice located at 1340 S. Ammon Road , Idaho Falls ID 83406. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cook, David Bryan can be contacted via phone (208) 523-3141.Contact Information
Primary practice address
1340 S. Ammon Road
Idaho Falls ID 83406
Phone: (208) 523-3141
Fax: (208) 525-2661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-840 | Idaho |
Profile Details
| NPI number | 1912074741 |
|---|---|
| LBN Legal business name | Cook, David Bryan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Apr 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912074741 | NPPES |
| Idaho | MEDICAID | 000852600 |
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