Cook, Timothy P
Cook, Timothy P is an individual health care provider with primary practice located at 3 Professional Park Dr Suite 21, Johnson City TN 37604-6529. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cook, Timothy P can be contacted via phone (423) 434-6300.Contact Information
Primary practice address
3 Professional Park Dr Suite 21
Johnson City TN 37604-6529
Phone: (423) 434-6300
Fax: (423) 434-6312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1149 | Tennessee |
Profile Details
| NPI number | 1417927013 |
|---|---|
| LBN Legal business name | Cook, Timothy P |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 26th, 2008 - 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 | 1417927013 | NPPES |
| Tennessee | MEDICAID | 3662661 |
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