Cooke, Jacqueline P
Cooke, Jacqueline P is an individual health care provider with primary practice located at 817 Federal St , Camden NJ 08103-1539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooke, Jacqueline P can be contacted via phone (856) 541-8217.Contact Information
Primary practice address
817 Federal St
Camden NJ 08103-1539
Phone: (856) 541-8217
Fax: (856) 541-4611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA04344300 | New Jersey |
Profile Details
| NPI number | 1275588550 |
|---|---|
| LBN Legal business name | Cooke, Jacqueline P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Mar 16th, 2015 - about 10 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 | 1275588550 | NPPES |
| New Jersey | MEDICAID | 5135206 |
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