NPI 1144257585 · live from the CMS NPI Registry
Benjamin P Cooke, PAC
Physician Assistant in St Albans, VT. National Provider Identifier 1144257585, active.
NPI record
| NPI | 1144257585 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 133 Fairfield St, St Albans, VT 05478 |
| Practice phone | 802-524-5911 |
| Enumerated | June 28, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 0550030525 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.