Individual
DR. JOANNA L COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
404 N PENN AVE, HARRISVILLE, WV 26362
(304) 966-6344
(304) 643-5152
Mailing address
404 N PENN AVE, HARRISVILLE, WV 26362-1128
(304) 966-6344
(304) 643-5152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
826
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001889916
BCBS
WV
05
—
2699174
—
OH
05
—
3810006837
—
WV
05
—
CH3046
—
SC
Enumeration date
02/07/2006
Last updated
08/28/2019
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