Cooke, Linda M
Cooke, Linda M is an individual health care provider with primary practice located at 163 Medical Dr , Hannibal MO 63401-6884. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Cooke, Linda M can be contacted via phone (573) 248-3900.Contact Information
Primary practice address
163 Medical Dr
Hannibal MO 63401-6884
Phone: (573) 248-3900
Fax: (573) 248-3902
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2004009689 | Missouri |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2004009689 | Missouri |
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2004009689 | Missouri |
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 2004009689 | Missouri |
Profile Details
NPI number | 1679552350 |
---|---|
LBN Legal business name | Cooke, Linda M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2006 |
Last updated | May 2nd, 2014 - 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 | 1679552350 | NPPES |
Missouri | MEDICAID | 209341403 |
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