Cooke, Nathan

Cooke, Nathan is an individual health care provider with primary practice located at 6801 Lucy Corr Ct , Chesterfield VA 23832-6657. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cooke, Nathan can be contacted via phone (804) 748-1227.

Contact Information

Primary practice address
6801 Lucy Corr Ct Chesterfield VA 23832-6657
Phone: (804) 748-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1740701721
LBN Legal business name Cooke, Nathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Jun 29th, 2017 - about 7 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 1740701721 NPPES
Virginia MEDICAID 1336293000

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