Cook, James Lee

Cook, James Lee is an individual health care provider with primary practice located at 1975 Martha Ave Ste A, Idaho Falls ID 83404-7580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cook, James Lee can be contacted via phone (208) 522-6930.

Contact Information

Primary practice address
1975 Martha Ave Ste A Idaho Falls ID 83404-7580
Phone: (208) 522-6930
Fax: (208) 523-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X PA460 Idaho

Profile Details

NPI number 1497838478
LBN Legal business name Cook, James Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 10th, 2015 - about 9 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 1497838478 NPPES
Idaho Other PAHR4 BLUE CROSS
Idaho MEDICAID 000060000 BLUE CROSS
Idaho Other 10144509 BLUE CROSS

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