Cooke, John Stewart

Cooke, John Stewart is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Cooke, John Stewart can be contacted via phone (803) 791-2000.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 791-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 001021 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 30211 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 30211 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30211 South Carolina

Profile Details

NPI number 1366563306
LBN Legal business name Cooke, John Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 21st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366563306 NPPES
South Carolina Other 208477 MEDCOST
South Carolina Other AA27741358 MEDCOST
South Carolina MEDICAID 302112 MEDCOST

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