Cook, Moya Racquel

Cook, Moya Racquel is an individual health care provider with primary practice located at 502 W St Louis St , West Frankfort IL 62896. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Moya Racquel can be contacted via phone (618) 937-3400.

Contact Information

Primary practice address
502 W St Louis St West Frankfort IL 62896
Phone: (618) 937-3400
Fax: (618) 937-3407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007626 Illinois

Profile Details

NPI number 1760610729
LBN Legal business name Cook, Moya Racquel
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Mar 24th, 2010 - about 15 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 1760610729 NPPES
Other 80077375 MEDICARE RAILROAD
Other 33308 MEDICARE RAILROAD
Other 103788 MEDICARE RAILROAD
Other 10019630 MEDICARE RAILROAD
Other 10800012002 MEDICARE RAILROAD
MEDICAID 36062597 MEDICARE RAILROAD

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