Cook, Tony Garrett
Cook, Tony Garrett is an sole proprietor health care provider with primary practice located at 610 W Main St Ste E, Campbellsville KY 42718-2501. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Cook, Tony Garrett can be contacted via phone (270) 465-8522.Contact Information
Primary practice address
610 W Main St Ste E
Campbellsville KY 42718-2501
Phone: (270) 465-8522
Fax: (270) 465-8523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | LP132 | Kentucky |
Profile Details
| NPI number | 1902133788 |
|---|---|
| LBN Legal business name | Cook, Tony Garrett |
| Credentials | LCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2009 |
| Last updated | Dec 3rd, 2012 - about 12 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 | 1902133788 | NPPES |
| Kentucky | MEDICAID | 7100209830 | |
| Kentucky | Other | 000000788517 |
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