Cook, Samantha L

Cook, Samantha L is an individual health care provider with primary practice located at 835 W Emmitt Ave , Waverly OH 45690-1190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cook, Samantha L can be contacted via phone (740) 947-7662.

Contact Information

Primary practice address
835 W Emmitt Ave Waverly OH 45690-1190
Phone: (740) 947-7662
Fax: (740) 941-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23997 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35121764 Ohio

Profile Details

NPI number 1134328594
LBN Legal business name Cook, Samantha L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Dec 30th, 2020 - about 4 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 1134328594 NPPES
Ohio MEDICAID 3065918
Ohio MEDICAID 38100187091
Ohio MEDICAID 7100125530

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