Cook, Mark H

Cook, Mark H is an individual health care provider with primary practice located at 601 Halton Rd , Greenville SC 29607-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cook, Mark H can be contacted via phone (864) 458-7956.

Contact Information

Primary practice address
601 Halton Rd Greenville SC 29607-3403
Fax: (864) 458-8390
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14261 South Carolina

Profile Details

NPI number 1629048624
LBN Legal business name Cook, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 22nd, 2018 - about 6 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 1629048624 NPPES
South Carolina Other 4385112 AETNA PROVIDER NUMBER
South Carolina Other 3016069001 AETNA PROVIDER NUMBER
South Carolina MEDICAID 142615 AETNA PROVIDER NUMBER
South Carolina Other 180018446 AETNA PROVIDER NUMBER

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