Cooke, Shavon

Cooke, Shavon is an sole proprietor health care provider with primary practice located at 168 Williams St , Portsmouth VA 23704-1835. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Medical Toxicology is her primary health care specialty. Cooke, Shavon can be contacted via phone (757) 759-1619.

Contact Information

Primary practice address
168 Williams St Portsmouth VA 23704-1835
Phone: (757) 759-1619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 43990-167-465-8163 Virginia
Allopathic & Osteopathic Physicians / Medical Toxicology 2083T0002X 43990-167-465-8163 Virginia

Profile Details

NPI number 1780391284
LBN Legal business name Cooke, Shavon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2022
Last updated Jan 12th, 2024 - about last year

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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