Cook, Tanya Ilene
Cook, Tanya Ilene is an sole proprietor health care provider with primary practice located at 30 Central Ave , Welch WV 24801-2008. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Cook, Tanya Ilene can be contacted via phone (304) 436-8441.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 21035 | West Virginia |
Profile Details
| NPI number | 1427197367 |
|---|---|
| LBN Legal business name | Cook, Tanya Ilene |
| Credentials | ED.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427197367 | NPPES |
| West Virginia | MEDICAID | 9201036000 |
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