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Contact Information

TONY G COOK, LCP
610 W MAIN ST
STE E
CAMPBELLSVILLE, KY42718-2501
 Phone: 270-465-8522
 Fax: 270-465-8523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for TONY G COOK · (Male)

NPI # 1902133788
Status Active
Credentials LCP
Entity Individual
Enumeration date 11/16/2009
Last updated 12/03/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # LP132
  • KY Medicaid 7100209830
  • KY Other 000000788517 ATHEM BLUE CROSS AND BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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