Provider Demographics
NPI:1265471908
Name:COOKINGHAM BEENE ALLERGY & ASTHMA ASSOCIATES PC
Entity Type:Organization
Organization Name:COOKINGHAM BEENE ALLERGY & ASTHMA ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT COOKINGHAM ALLERGY & ASTH
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:COOKINGHAM
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:810-733-3200
Mailing Address - Street 1:4260 S LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:810-733-3200
Mailing Address - Fax:810-733-8835
Practice Address - Street 1:4260 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507
Practice Address - Country:US
Practice Address - Phone:810-733-3200
Practice Address - Fax:810-733-8835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty