Cochran, Gary A
Cochran, Gary A is an sole proprietor health care provider with primary practice located at 118 West North St , Kosciusko MS 39090. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Cochran, Gary A can be contacted via phone (662) 289-9581.Contact Information
Primary practice address
118 West North St
Kosciusko MS 39090
Phone: (662) 289-9581
Fax: (662) 289-9967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 19260 | Mississippi |
Profile Details
| NPI number | 1760673982 |
|---|---|
| LBN Legal business name | Cochran, Gary A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 5th, 2007 - about 17 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 | 1760673982 | NPPES |
| Mississippi | MEDICAID | 00089021 |
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