Cooke, Marty T.
Cooke, Marty T. is an individual health care provider with primary practice located at 500 S 11Th Ave Suite 302, Pocatello ID 83201-4835. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cooke, Marty T. can be contacted via phone (208) 233-0150.Contact Information
Primary practice address
500 S 11Th Ave Suite 302
Pocatello ID 83201-4835
Phone: (208) 233-0150
Fax: (208) 233-0159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC3448 | Idaho |
Profile Details
| NPI number | 1831246594 |
|---|---|
| LBN Legal business name | Cooke, Marty T. |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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