Cook, Jeffrey Nelson

Cook, Jeffrey Nelson is an sole proprietor health care provider with primary practice located at 2024 15Th St Ste 5D, Meridian MS 39301-4130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cook, Jeffrey Nelson can be contacted via phone (601) 553-2100.

Contact Information

Primary practice address
2024 15Th St Ste 5D Meridian MS 39301-4130
Fax: (601) 553-2104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MS09097 Mississippi

Profile Details

NPI number 1225033590
LBN Legal business name Cook, Jeffrey Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jun 26th, 2020 - about 4 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 1225033590 NPPES
Mississippi MEDICAID 00116548
Mississippi Other 180024836

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