WELDON COOKE MD LLC NPI 1528466091

NPI Information

NPI: 1528466091
Provider Name: WELDON COOKE MD LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
10176 W 400 N
SUITE C
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 873-1777
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WELDON COOKE MD LLC is a primary care clinic center in Michigan City, IN. WELDON COOKE MD LLC NPI is 1528466091. The provider is registered as an organization entity type.

The provider's business location address is:

10176 W 400 N
SUITE C
MICHIGAN CITY, IN
ZIP 46360-008
Phone: (219) 873-1777
Fax: (219) 873-0001

The provider's authorized official is Tina J Bowmar .
The authorized official title is Admin and has the following contact phone number (219) 221-7287.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 12/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	01020627A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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