Cook, Samuel Annibale

Cook, Samuel Annibale is an sole proprietor health care provider with primary practice located at 4701 Melbourne Pl , College Park MD 20740-2540. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cook, Samuel Annibale can be contacted via phone (301) 345-4400.

Contact Information

Primary practice address
4701 Melbourne Pl College Park MD 20740-2540
Phone: (301) 345-4400
Fax: (301) 345-4200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0008045 Maryland

Profile Details

NPI number 1679146732
LBN Legal business name Cook, Samuel Annibale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - 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 1679146732 NPPES
Maryland Other C0008045 MARYLAND BOARD OF PHYSICIANS
Maryland Other 1169827 MARYLAND BOARD OF PHYSICIANS

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