Cook, Roger Terry

Cook, Roger Terry is an individual health care provider with primary practice located at 87 Nelms Rd , Graysville TN 37338-4632. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Cook, Roger Terry can be contacted via phone (423) 949-8620.

Contact Information

Primary practice address
87 Nelms Rd Graysville TN 37338-4632
Phone: (423) 949-8620
Fax: (423) 949-9217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PRO0000000083 Tennessee

Profile Details

NPI number 1164471801
LBN Legal business name Cook, Roger Terry
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 18th, 2007 - about 17 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 1164471801 NPPES
Tennessee Other 4067689 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 1454290 BLUE CROSS BLUE SHIELD TN

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