Cobb, Victoria Louise
Cobb, Victoria Louise is an individual health care provider with primary practice located at 4800 Mexico Rd Ste 101, Saint Peters MO 63376-1666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cobb, Victoria Louise can be contacted via phone (636) 936-0400.Contact Information
Primary practice address
4800 Mexico Rd Ste 101
Saint Peters MO 63376-1666
Phone: (636) 936-0400
Fax: (636) 936-2252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 137172 | Missouri |
Profile Details
| NPI number | 1386652055 |
|---|---|
| LBN Legal business name | Cobb, Victoria Louise |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Oct 13th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386652055 | NPPES |
| Missouri | MEDICAID | 427270301 |
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