Cook, Mark F.

Cook, Mark F. is an individual health care provider with primary practice located at 412 Highland Blvd , Johnson Creek WI 53038-9504. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Cook, Mark F. can be contacted via phone (920) 390-9038.

Contact Information

Primary practice address
412 Highland Blvd Johnson Creek WI 53038-9504
Phone: (920) 390-9038
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2358-035 Wisconsin
Eye and Vision Services Providers / Occupational Vision 152WX0102X 2358-035 Wisconsin

Profile Details

NPI number 1407817752
LBN Legal business name Cook, Mark F.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407817752 NPPES
Wisconsin MEDICAID 38724000

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