Weldon John Cooke
Family Doctor Family Doctor - Addiction Medicine
10176 W 400 N Suite C
Michigan City
, Indiana 46360
Weldon John Cooke
Family Doctor Family Doctor - Addiction Medicine
10176 W 400 N Suite C
Michigan City
, Indiana 46360
(219) 873-0001
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Weldon John Cooke
- 3965 N. Malaga Dr.
- Laporte, IN
- Zip : 46350
- Fax : (219) 873-0001
- Phone : (219) 873-1777
Second Address
- Weldon John Cooke
- 10176 W 400 N Suite C
- Michigan City, IN
- Zip : 46360
- Fax : (219) 873-0001
- Phone : (219) 873-1777
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01020627A | IN |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 01020627B | IN |
National Provider Identifier
| NPI | 1912945262 |
|---|---|
| Provider Name | Weldon John Cooke |
| First Address | Laporte, IN 46350 |
| Second Address | Michigan City, IN 46360 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 30/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000308932 | ANTHEM BC/BS (01) | IN |
| 100351820B | (05) | IN |
| 247628 | HARMONY (01) | IN |
| D94864 | (02) | |
| D94864 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.