Cook, Thomas Miles
Cook, Thomas Miles is an sole proprietor health care provider with primary practice located at 40 Camelot Dr , Fond Du Lac WI 54935-8049. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cook, Thomas Miles can be contacted via phone (920) 907-8201.Contact Information
Primary practice address
40 Camelot Dr
Fond Du Lac WI 54935-8049
Phone: (920) 907-8201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3948-123 | Wisconsin |
Profile Details
| NPI number | 1972666832 |
|---|---|
| LBN Legal business name | Cook, Thomas Miles |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972666832 | NPPES |
| Wisconsin | MEDICAID | 39223900 |
Popular Providers
-
Comers, Rosonna Sue
N6687 Wrightway Dr Ste D, Fond Du Lac WI 54937 -
Henderson, Gregory A
210 Wisconsin American Dr , Fond Du Lac WI 54937-2999 -
Teschke, Sharon Ann
196 3Rd St , Fond Du Lac WI 54935-4418 -
Brunette, Anne Clair
40 Camelot Dr , Fond Du Lac WI 54935-8049 -
Block, Jacquelyn Mae
430 E Division St , Fond Du Lac WI 54935-4560 -
Pollard, Judith A
551 W Johnson St , Fond Du Lac WI 54935 -
Roberts, Stephen H
40 Camelot Drive , Fond Du Lac WI 54935 -
Schohl, Joanna E
225 S Hickory St , Fond Du Lac WI 54935-4830