Cook, Thomas Ray

Cook, Thomas Ray is an individual health care provider with primary practice located at 1444 Parkway Drive , Blackfoot ID 83221. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cook, Thomas Ray can be contacted via phone (208) 785-2600.

Contact Information

Primary practice address
1444 Parkway Drive Blackfoot ID 83221
Phone: (208) 785-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2180 Idaho

Profile Details

NPI number 1477178432
LBN Legal business name Cook, Thomas Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2020
Last updated May 18th, 2022 - about 3 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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