Cooke, John
Cooke, John is an sole proprietor health care provider with primary practice located at 516 Bloomfield Ave Suite 4, Montclair NJ 07042-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cooke, John can be contacted via phone (973) 509-1500.Contact Information
Primary practice address
516 Bloomfield Ave Suite 4
Montclair NJ 07042-3429
Phone: (973) 509-1500
Fax: (973) 509-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA07095800 | New Jersey |
Profile Details
| NPI number | 1083895114 |
|---|---|
| LBN Legal business name | Cooke, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Mar 13th, 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 | 1083895114 | NPPES |
| New Jersey | MEDICAID | 8256004 |
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