Cook, Mark R

Cook, Mark R is an individual health care provider with primary practice located at 1914 Lelaray St , Colorado Springs CO 80909-2800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Cook, Mark R can be contacted via phone (719) 632-7641.

Contact Information

Primary practice address
1914 Lelaray St Colorado Springs CO 80909-2800
Phone: (719) 632-7641
Fax: (719) 632-7641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47859 Colorado
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 47859 Colorado

Profile Details

NPI number 1396867156
LBN Legal business name Cook, Mark R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated May 11th, 2022 - about 3 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 1396867156 NPPES
Colorado MEDICAID 9000149831

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