Provider Demographics
NPI:1457679086
Name:COOK DB, P.S.
Entity Type:Organization
Organization Name:COOK DB, P.S.
Other - Org Name:WALK-IN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-943-2333
Mailing Address - Street 1:710 GEORGE WASHINGTON WAY
Mailing Address - Street 2:SUITE N
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4254
Mailing Address - Country:US
Mailing Address - Phone:509-943-2333
Mailing Address - Fax:509-943-2332
Practice Address - Street 1:710 GEORGE WASHINGTON WAY
Practice Address - Street 2:SUITE N
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4254
Practice Address - Country:US
Practice Address - Phone:509-943-2333
Practice Address - Fax:509-943-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty