Cook, Glendon E
Cook, Glendon E is an individual health care provider with primary practice located at 16 Church St , Dallas PA 18612-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cook, Glendon E can be contacted via phone (570) 675-2111.Contact Information
Primary practice address
16 Church St
Dallas PA 18612-1136
Phone: (570) 675-2111
Fax: (570) 675-6545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD428346L | Pennsylvania |
Profile Details
| NPI number | 1952343816 |
|---|---|
| LBN Legal business name | Cook, Glendon E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 27th, 2009 - 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 | 1952343816 | NPPES |
| Pennsylvania | Other | 000063294 | BLUESHIELD |
| Pennsylvania | MEDICAID | 101764792-0001 | BLUESHIELD |
| Pennsylvania | Other | 824355 | BLUESHIELD |
| Pennsylvania | Other | 000000266485 | BLUESHIELD |
Popular Providers
-
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Joseph, Matthew Evan
114 Lt Michael Cleary Dr , Dallas PA 18612-1649 -
Hartz, Leo Mitri
218 Hillside Two , Dallas PA 18612-1848 -
Oley, Richard M
16 Church St , Dallas PA 18612-1136 -
Tiwaah, Millicent Owusu
114 Lt Michael Cleary Dr , Dallas PA 18612-1649 -
Penner, Timothy M.
609 Liberty St , Clay Center KS 67432-1564 -
Kovalick, Michael A.
114 Lt Michael Cleary Dr , Dallas PA 18612-1649