Cook, John Richard

Cook, John Richard is an sole proprietor health care provider with primary practice located at 1015 Union St Ste 110 , Boone IA 50036-4821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Cook, John Richard can be contacted via phone (515) 433-8173.

Contact Information

Primary practice address
1015 Union St Ste 110 Boone IA 50036-4821
Phone: (515) 433-8173
Fax: (515) 433-0696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 19888 Iowa

Profile Details

NPI number 1790740488
LBN Legal business name Cook, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Oct 9th, 2007 - about 18 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 1790740488 NPPES
Iowa Other 316794 BLUE CROSS/BLUE SHIELD
Iowa MEDICAID 0161281 BLUE CROSS/BLUE SHIELD
Iowa Other 3184 BLUE CROSS/BLUE SHIELD

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