Cook, Jeremy William
Cook, Jeremy William is an individual health care provider with primary practice located at 587 Bielenberg Dr Suite 200, Woodbury MN 55125-4451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cook, Jeremy William can be contacted via phone (651) 578-2700.Contact Information
Primary practice address
587 Bielenberg Dr Suite 200
Woodbury MN 55125-4451
Phone: (651) 578-2700
Fax: (651) 578-7077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 52654 | Minnesota |
Profile Details
| NPI number | 1982865317 |
|---|---|
| LBN Legal business name | Cook, Jeremy William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jan 28th, 2013 - about 11 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 | 1982865317 | NPPES |
| Minnesota | MEDICAID | 1982865317 |
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