Cook, Dustin Michael

Cook, Dustin Michael is an individual health care provider with primary practice located at 45 Grove St , New Canaan CT 06840-5330. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cook, Dustin Michael can be contacted via phone (203) 966-5752.

Contact Information

Primary practice address
45 Grove St New Canaan CT 06840-5330
Phone: (203) 966-5752
Fax: (203) 966-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X CT00729 Connecticut

Profile Details

NPI number 1316947179
LBN Legal business name Cook, Dustin Michael
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
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 1316947179 NPPES
Connecticut Other ANC1555 OXFORD
Connecticut Other 080007229CT02 OXFORD

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