Cook, Scott Michael

Cook, Scott Michael is an sole proprietor health care provider with primary practice located at 1501 Hiland Ave , Burley ID 83318-2688. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Cook, Scott Michael can be contacted via phone (208) 678-4444.

Contact Information

Primary practice address
1501 Hiland Ave Burley ID 83318-2688
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 69241 Idaho

Profile Details

NPI number 1184398679
LBN Legal business name Cook, Scott Michael
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2021
Last updated Aug 6th, 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 1184398679 NPPES
Idaho Other 69241 NP NUMBER FOR IDAHO

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