Organization
COOK CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA L. COOK DC (OWNER)
(304) 865-9355
Entity
Organization
Contact information
Practice address
906 GRAND CENTRAL AVE STE A, VIENNA, WV 26105-2172
(304) 865-9355
Mailing address
906 GRAND CENTRAL AVE STE A, VIENNA, WV 26105-2172
(304) 865-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
826
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001890306
BCBS
WV
Enumeration date
01/04/2007
Last updated
07/08/2013
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