Cook, Jezeriah Wayne

Cook, Jezeriah Wayne is an sole proprietor health care provider with primary practice located at 9 Manhattan Sq Ste A , Hampton VA 23666-6262. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cook, Jezeriah Wayne can be contacted via phone (757) 838-6335.

Contact Information

Primary practice address
9 Manhattan Sq Ste A Hampton VA 23666-6262
Fax: (757) 838-0612
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002140 Virginia

Profile Details

NPI number 1225066517
LBN Legal business name Cook, Jezeriah Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated May 16th, 2014 - about 10 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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