Cooke, Shannon Eugene

Cooke, Shannon Eugene is an individual health care provider with primary practice located at 1633 Cottonwood St , Abilene TX 79601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cooke, Shannon Eugene can be contacted via phone (325) 672-4372.

Contact Information

Primary practice address
1633 Cottonwood St Abilene TX 79601
Phone: (325) 672-4372
Fax: (325) 673-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X H7972 Texas

Profile Details

NPI number 1811923063
LBN Legal business name Cooke, Shannon Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 14th, 2018 - 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 1811923063 NPPES
Texas Other 8S1530 BCBS
Texas MEDICAID 029703802 BCBS

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