Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E37510 | CA |
Y | 222Z00000X | Podiatrist | E37510 | CA |
N | 213EP1101X | Primary Podiatric Medicine | E37510 | CA |
N | 111NR0200X | Radiology | E37510 | CA |
N | 213ER0200X | Radiology | E37510 | CA |
N | 2081S0010X | Sports Medicine | E37510 | CA |
N | 213ES0000X | Sports Medicine | E37510 | CA |
N | 213ES0103X | Foot & Ankle Surgery | E37510 | CA |
N | 213ES0131X | Foot Surgery | E37510 | CA |
NPI | 1518964360 |
---|---|
Provider Name | Dr. Alison Jo Cook |
First Address | Hayward, CA 94541-1554 |
Second Address | Hayward, CA 94541-1554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 07/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E37510 | (05) | CA |
U27794 | (02) | CA |