Cooksey, David

Cooksey, David is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cooksey, David can be contacted via phone (318) 798-4677.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Fax: (318) 798-4417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 012189 Louisiana

Profile Details

NPI number 1225032121
LBN Legal business name Cooksey, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jan 12th, 2009 - about 15 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 1225032121 NPPES
Louisiana MEDICAID 1191884
Louisiana Other 070004786
Louisiana Other 1053315846

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