Cook, Elizabeth Alice
Cook, Elizabeth Alice is an individual health care provider with primary practice located at 7741 Ballantyne Commons Pkwy Suite 101, Charlotte NC 28277-2442. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Cook, Elizabeth Alice can be contacted via phone (704) 845-0955.Contact Information
Primary practice address
7741 Ballantyne Commons Pkwy Suite 101
Charlotte NC 28277-2442
Phone: (704) 845-0955
Fax: (704) 845-0965
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 7876 | North Carolina |
Profile Details
NPI number | 1396741203 |
---|---|
LBN Legal business name | Cook, Elizabeth Alice |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2005 |
Last updated | Aug 26th, 2008 - about 16 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 | 1396741203 | NPPES |
North Carolina | MEDICAID | 5906299 |
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