Cobb, Michael John

Cobb, Michael John is an individual health care provider with primary practice located at 962 Warwick Ave , Warwick RI 02888-3650. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cobb, Michael John can be contacted via phone (401) 612-7100.

Contact Information

Primary practice address
962 Warwick Ave Warwick RI 02888-3650
Phone: (401) 612-7100
Fax: (774) 565-0469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00255 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00255 Rhode Island

Profile Details

NPI number 1003813866
LBN Legal business name Cobb, Michael John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003813866 NPPES
Rhode Island MEDICAID 7008957

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