Cook, Russell
Cook, Russell is an sole proprietor health care provider with primary practice located at 385 S. Lemon Ave. Ste 249 , Walnut CA 91789. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Cook, Russell can be contacted via phone (714) 403-8515.Contact Information
Primary practice address
385 S. Lemon Ave. Ste 249
Walnut CA 91789
Phone: (714) 403-8515
Fax: (714) 669-4088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | RHM-6244 | California |
Profile Details
| NPI number | 1508042516 |
|---|---|
| LBN Legal business name | Cook, Russell |
| Credentials | Radiologic Technologist (RT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Mar 25th, 2010 - about 14 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 | 1508042516 | NPPES |
| California | Other | R059983 | MEDICARE |
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