Cook, Tammy Sue

Cook, Tammy Sue is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped, Adolescent Medicine, Saint Louis MO 63110-1002. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Cook, Tammy Sue can be contacted via phone (314) 454-2468.

Contact Information

Primary practice address
1 Childrens Pl Div Ped, Adolescent Medicine Saint Louis MO 63110-1002
Phone: (314) 454-2468
Fax: (314) 454-2524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 2001000724 Missouri

Profile Details

NPI number 1568765808
LBN Legal business name Cook, Tammy Sue
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Apr 25th, 2024 - about 7 months 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 1568765808 NPPES
Missouri MEDICAID 350082435

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