Cook, Jesse Dale

Cook, Jesse Dale is an individual health care provider with primary practice located at 109 N Fairland St , Pryor OK 74361-4203. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Cook, Jesse Dale can be contacted via phone (918) 825-1405.

Contact Information

Primary practice address
109 N Fairland St Pryor OK 74361-4203
Phone: (918) 825-1405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1487123634
LBN Legal business name Cook, Jesse Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2018
Last updated Nov 16th, 2018 - about 7 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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