Cook, Keith D.
Cook, Keith D. is an individual health care provider with primary practice located at 140 Bergen St Level E, Newark NJ 07103-2425. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cook, Keith D. can be contacted via phone (973) 972-8320.Contact Information
Primary practice address
140 Bergen St Level E
Newark NJ 07103-2425
Phone: (973) 972-8320
Fax: (973) 972-3162
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00254100 | New Jersey |
Profile Details
NPI number | 1235243106 |
---|---|
LBN Legal business name | Cook, Keith D. |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | May 31st, 2022 - about 2 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 | 1235243106 | NPPES |
New Jersey | MEDICAID | 9036903 |
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