Individual
MICHAEL S COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 591-7291
(757) 591-2125
Mailing address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 591-7291
(757) 591-2125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001063
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324500
ANTHEM BCBS
VA
01
—
541901720
TAX ID
VA
Enumeration date
07/24/2006
Last updated
06/11/2019
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