Cook, Terry R
Cook, Terry R is an sole proprietor health care provider with primary practice located at 1478 East Hwy 162 , Montezuma Creek UT 84534. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Cook, Terry R can be contacted via phone (435) 651-3700.Contact Information
Primary practice address
1478 East Hwy 162
Montezuma Creek UT 84534
Phone: (435) 651-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 540 | Colorado |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 3406870501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 540 | Colorado |
Profile Details
| NPI number | 1285636449 |
|---|---|
| LBN Legal business name | Cook, Terry R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Aug 19th, 2019 - about 6 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 | 1285636449 | NPPES |
| Colorado | Other | 609395 | HMO BCBS CO |
| Colorado | MEDICAID | 04023719 | HMO BCBS CO |
| Colorado | Other | 870579394001 | HMO BCBS CO |
| Colorado | Other | 50763 | HMO BCBS CO |
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