Cooke, Carolyn Jean

Cooke, Carolyn Jean is an individual health care provider with primary practice located at 25 W Main St , Austin IN 47102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cooke, Carolyn Jean can be contacted via phone (812) 794-8100.

Contact Information

Primary practice address
25 W Main St Austin IN 47102
Phone: (812) 794-8100
Fax: (812) 794-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01056482A Indiana

Profile Details

NPI number 1609817378
LBN Legal business name Cooke, Carolyn Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 25th, 2024 - about 8 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609817378 NPPES
Indiana MEDICAID 200392240
Indiana Other P00046422

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