Individual
NICHOLAS JON COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 213-3864
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01067387A
IN
207X00000X
Orthopaedic Surgery Physician
MD.29434
AL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01067387A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000645223
ANTHEM
—
05
—
200975330
—
IN
Enumeration date
05/14/2007
Last updated
12/11/2025
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