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Adam B Cook

Specialist/Technologist, Athletic Trainer in Roseville, CA. Individual provider (NPI-1).

NPI number1477034718
StatusActive
Last updated in NPPESAug 24, 2018

Details

NPI
1477034718
Entity type
Individual (NPI-1)
Name
Adam B Cook
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 24, 2018
Last updated
Aug 24, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1508 Verbena Way
Roseville, CA 95747-6738

Phone 530-307-1426

Mailing address

1508 Verbena Way
Roseville, CA 95747-6738

Phone 530-307-1426

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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