Cocheba, Jay Randall

Cocheba, Jay Randall is an individual health care provider with primary practice located at 1617 E Division St , Mount Vernon WA 98274-4503. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cocheba, Jay Randall can be contacted via phone (360) 424-4466.

Contact Information

Primary practice address
1617 E Division St Mount Vernon WA 98274-4503
Phone: (360) 424-4466
Fax: (360) 208-0564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000773 Washington

Profile Details

NPI number 1679596365
LBN Legal business name Cocheba, Jay Randall
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679596365 NPPES
Washington Other 0264542 L&I
Washington MEDICAID 1016127 L&I

Popular Providers