Cook, Timothy R
Cook, Timothy R is an sole proprietor health care provider with primary practice located at 4509 E Mccain Blvd , North Little Rock AR 72117-2902. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cook, Timothy R can be contacted via phone (501) 955-7676.Contact Information
Primary practice address
4509 E Mccain Blvd
North Little Rock AR 72117-2902
Phone: (501) 955-7676
Fax: (501) 945-0906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E0808 | Arkansas |
Profile Details
| NPI number | 1659342038 |
|---|---|
| LBN Legal business name | Cook, Timothy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Oct 10th, 2017 - about 7 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 | 1659342038 | NPPES |
| Arkansas | MEDICAID | 129138001 |
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