Cooke, Darcy C
Cooke, Darcy C is an individual health care provider with primary practice located at 4701 Montgomery Blvd Ne Lovelace Medical Group Breast Care Center, Albuquerque NM 87109-1219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cooke, Darcy C can be contacted via phone (505) 727-6900.Contact Information
Primary practice address
4701 Montgomery Blvd Ne Lovelace Medical Group Breast Care Center
Albuquerque NM 87109-1219
Phone: (505) 727-6900
Fax: (505) 727-6913
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA2003-0015 | New Mexico |
Profile Details
NPI number | 1790870970 |
---|---|
LBN Legal business name | Cooke, Darcy C |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Apr 6th, 2016 - about 9 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 | 1790870970 | NPPES |
New Mexico | MEDICAID | 2535033 |
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