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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508042516 NPPES
California Other R059983 MEDICARE

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