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
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629384573 | NPPES |
| Illinois | Other | 208833012 | MEDICARE PTAN |
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