Cook, Patty Lorraine

Cook, Patty Lorraine is an sole proprietor health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cook, Patty Lorraine can be contacted via phone (309) 779-2800.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006969 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149014607 Illinois

Profile Details

NPI number 1629384573
LBN Legal business name Cook, Patty Lorraine
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2010
Last updated Nov 14th, 2012 - about 13 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 1629384573 NPPES
Illinois Other 208833012 MEDICARE PTAN

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