Cook, Debra Sue
Cook, Debra Sue is an individual health care provider with primary practice located at 209 E Jefferson St , Plymouth IN 46563-1861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Debra Sue can be contacted via phone (574) 941-3111.Contact Information
Primary practice address
209 E Jefferson St
Plymouth IN 46563-1861
Phone: (574) 941-3111
Fax: (574) 335-0745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000505 | Indiana |
Profile Details
| NPI number | 1477675965 |
|---|---|
| LBN Legal business name | Cook, Debra Sue |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Feb 7th, 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 | 1477675965 | NPPES |
| Indiana | Other | 000000322873 | BCBS |
| Indiana | MEDICAID | 200190130A | BCBS |
Popular Providers
-
Kartes, Breanna
1919 Lake Ave Ste 102 , Plymouth IN 46563-7830 -
Wagoner, Kelsey Anna
209 E Jefferson St , Plymouth IN 46563-1861 -
Geer, Jill Marie
510 W Adams St Suite 150, Plymouth IN 46563-1765 -
Eveland, Jacqueline Ann
209 E Jefferson St , Plymouth IN 46563-1861 -
Forest, Kandie Ann
2349 Lake Ave Suite 201, Plymouth IN 46563-7835 -
Zehr, Kathryn Lynn
1919 Lake Ave Ste 110 , Plymouth IN 46563-7830 -
Aldridge, Londa
113 N Michigan St , Plymouth IN 46563-2132 -
Davis, Sherry C
2349 Lake Ave Suite 100, Plymouth IN 46563-7835