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
Phone: (601) 553-2100
Fax: (601) 553-2104
Website:
Health care specialties
Specialty | Code | License # | 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 5 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 | 1225033590 | NPPES |
Mississippi | MEDICAID | 00116548 | |
Mississippi | Other | 180024836 |
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