Cocco, Alex M

Cocco, Alex M is an individual health care provider with primary practice located at 1812 W Royale Dr , Muncie IN 47304-2243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cocco, Alex M can be contacted via phone (765) 284-7703.

Contact Information

Primary practice address
1812 W Royale Dr Muncie IN 47304-2243
Fax: (765) 284-6838
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01059700A Indiana

Profile Details

NPI number 1376519173
LBN Legal business name Cocco, Alex M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 20th, 2011 - about 13 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 1376519173 NPPES
Indiana MEDICAID 200504320
Indiana Other P00915791

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