Cooke, Coleene Gweneth

Cooke, Coleene Gweneth is an individual health care provider with primary practice located at 838 Market St , Zanesville OH 43701-3718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Cooke, Coleene Gweneth can be contacted via phone (740) 452-9319.

Contact Information

Primary practice address
838 Market St Zanesville OH 43701-3718
Phone: (740) 452-9319
Fax: (740) 452-2427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 37000 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48169-020 Wisconsin

Profile Details

NPI number 1487684999
LBN Legal business name Cooke, Coleene Gweneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 1st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487684999 NPPES
Iowa MEDICAID 17335951
Iowa MEDICAID 2735951
Iowa Other 30020
Iowa Other 30011
Iowa MEDICAID 0735951
Iowa Other 30009
Iowa MEDICAID 34754700

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