Individual
DR. JOHN C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 5TH STREET SE, SUITE G, BARBERTON, OH 44203-4225
(330) 745-3151
(330) 745-9984
Mailing address
101 5TH STREET SE, SUITE G, BARBERTON, OH 44203-4225
(330) 745-3151
(330) 745-9984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-005018
OH
207Q00000X
Family Medicine Physician
34005018C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0857694
—
OH
01
—
198
SUMMACARE
OH
01
—
4230305
AETNA
—
01
—
Q018628A
HOMETOWN
OH
Enumeration date
10/31/2005
Last updated
10/09/2014
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