Cooke, Elizabeth Grace
Cooke, Elizabeth Grace is an sole proprietor health care provider with primary practice located at 1519 Alder Ave , Lewiston ID 83501-5815. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Cooke, Elizabeth Grace can be contacted via phone (208) 503-9104.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Idaho |
Profile Details
| NPI number | 1790482693 |
|---|---|
| LBN Legal business name | Cooke, Elizabeth Grace |
| Credentials | BS, BIS, CS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2023 |
| Last updated | Feb 10th, 2023 - about last year |
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 | 1790482693 | NPPES |
| Idaho | MEDICAID | 222Q00000X |
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