Cook, Jack T.
Cook, Jack T. is an individual health care provider with primary practice located at 250 Pleasant Street Yeaple Building, Concord NH 03301-7539. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cook, Jack T. can be contacted via phone (603) 228-7200.Contact Information
Primary practice address
250 Pleasant Street Yeaple Building
Concord NH 03301-7539
Phone: (603) 228-7200
Fax: (603) 228-7307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 432 | New Hampshire |
Profile Details
| NPI number | 1194720052 |
|---|---|
| LBN Legal business name | Cook, Jack T. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jun 24th, 2013 - about 13 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 | 1194720052 | NPPES |
| New Hampshire | Other | 222594672 | GREATWEST HEALTHCARE |
| New Hampshire | Other | 222594672 | GREATWEST HEALTHCARE |
| New Hampshire | MEDICAID | 30334856 | GREATWEST HEALTHCARE |
| New Hampshire | Other | 378781 | GREATWEST HEALTHCARE |
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