Provider Demographics
NPI:1174088249
Name:COOK, MARGARET ERIN (BC-HIS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ERIN
Last Name:COOK
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13220 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-4168
Mailing Address - Country:US
Mailing Address - Phone:540-829-9005
Mailing Address - Fax:540-829-9056
Practice Address - Street 1:13220 LOVERS LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-4168
Practice Address - Country:US
Practice Address - Phone:540-829-9005
Practice Address - Fax:540-829-9056
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA21010020762355A2700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2101002076OtherSTATE LICENSED HEARING AID SPECIALIST NUMBER