Cook, Dwayne L..
Cook, Dwayne L.. is an individual health care provider with primary practice located at 1200 56Th St Sw , Wyoming MI 49509-9704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cook, Dwayne L.. can be contacted via phone (616) 243-5707.Contact Information
Primary practice address
1200 56Th St Sw
Wyoming MI 49509-9704
Phone: (616) 243-5707
Fax: (616) 243-1170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301074284 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301074284 | Michigan |
Profile Details
| NPI number | 1447229125 |
|---|---|
| LBN Legal business name | Cook, Dwayne L.. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Dec 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447229125 | NPPES |
| Michigan | Other | 11274020 | CAQH |
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