Cook, Jolanda Irma

Cook, Jolanda Irma is an individual health care provider with primary practice located at 617 Campus Dr , Abingdon VA 24210-9700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cook, Jolanda Irma can be contacted via phone (276) 628-1186.

Contact Information

Primary practice address
617 Campus Dr Abingdon VA 24210-9700
Phone: (276) 628-1186
Fax: (276) 628-8507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010154523 Virginia

Profile Details

NPI number 1841289675
LBN Legal business name Cook, Jolanda Irma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated May 15th, 2012 - about 13 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 1841289675 NPPES
Virginia MEDICAID 005641802
Virginia Other 03
Virginia Other 5756306
Virginia Other 2102748
Virginia Other 226900

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