Mccook, Barry Moore

Mccook, Barry Moore is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Radiology, Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mccook, Barry Moore can be contacted via phone (904) 244-4221.

Contact Information

Primary practice address
655 W 8Th St Ufjp Radiology Jacksonville FL 32209-6511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD054903L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0050576 Florida

Profile Details

NPI number 1922072875
LBN Legal business name Mccook, Barry Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Feb 17th, 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 1922072875 NPPES
Pennsylvania MEDICAID 001741042
Pennsylvania MEDICAID 2814064-00
Pennsylvania Other 08426

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