Cook, Jay D

Cook, Jay D is an individual health care provider with primary practice located at 1432 S Dobson Rd Suite 301, Mesa AZ 85202-4768. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cook, Jay D can be contacted via phone (480) 464-9400.

Contact Information

Primary practice address
1432 S Dobson Rd Suite 301 Mesa AZ 85202-4768
Fax: (480) 464-9401
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35460 Arizona

Profile Details

NPI number 1447287040
LBN Legal business name Cook, Jay D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 9th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447287040 NPPES
Arizona MEDICAID 151185

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