Cooke, Myron Blaine
Cooke, Myron Blaine is an sole proprietor health care provider with primary practice located at 3756 Santa Rosalia Dr Ste 609 , Los Angeles CA 90008-3606. He recently has only one registered license in Chiropractic Providers / Independent Medical Examiner, which is considered as his primary health care specialty. Cooke, Myron Blaine can be contacted via phone (323) 298-7956.Contact Information
Primary practice address
3756 Santa Rosalia Dr Ste 609
Los Angeles CA 90008-3606
Phone: (323) 298-7956
Fax: (323) 298-0971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Independent Medical Examiner | 111NI0013X | DC 18766 | California |
Profile Details
| NPI number | 1831307669 |
|---|---|
| LBN Legal business name | Cooke, Myron Blaine |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Mar 11th, 2010 - about 14 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 | 1831307669 | NPPES |
| California | Other | DC18766 | MEDICARE PTAN |
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