Cooke, Jason William
Cooke, Jason William is an sole proprietor health care provider with primary practice located at 2557B E Calumet St , Appleton WI 54915-4748. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Cooke, Jason William can be contacted via phone (920) 733-7770.Contact Information
Primary practice address
2557B E Calumet St
Appleton WI 54915-4748
Phone: (920) 733-7770
Fax: (920) 733-7798
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 5864-015 | Wisconsin |
Profile Details
NPI number | 1558662387 |
---|---|
LBN Legal business name | Cooke, Jason William |
Credentials | DDS,MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 10th, 2010 |
Last updated | Nov 10th, 2010 - about 15 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 | 1558662387 | NPPES |
Wisconsin | Other | 1134339500 | ORGANIZATION NPI |
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