Andrew S. Cook, DC
Individual provider Active NPI Chiropractor · Osawatomie, KS
NPI 1437336948 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1437336948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5120 (KS)
- Practice address
- 501 1St St
Osawatomie, KS 66064-1105 - Phone
- (913) 755-2070
- Fax
- (913) 642-1554
- NPI assigned
- Jan 28, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080519000782 | KS | Practitioner - Chiropractic | 5991874737 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5120 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5120 | KS | Yes |
Addresses
Primary practice location
501 1St St
Osawatomie, KS 66064-1105
Mailing address
501 1St St
Osawatomie, KS 66064-1105
Phone (913) 755-2070
Other providers in Osawatomie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.