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:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1841289675 | NPPES |
Virginia | MEDICAID | 005641802 | |
Virginia | Other | 03 | |
Virginia | Other | 5756306 | |
Virginia | Other | 2102748 | |
Virginia | Other | 226900 |
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