Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath |
NPI | 1215176508 |
---|---|
Provider Name | Dr. Charlton Cook |
First Address | Millersville, MD 21108-0095 |
Second Address | Bonita Springs, FL 34135-9532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 17/02/2010 |