Cochran, Glenn A
Cochran, Glenn A is an individual health care provider with primary practice located at 6701 Airport Blvd Suite D-330, Mobile AL 36608-6705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cochran, Glenn A can be contacted via phone (251) 607-9797.Contact Information
Primary practice address
6701 Airport Blvd Suite D-330
Mobile AL 36608-6705
Phone: (251) 607-9797
Fax: (251) 607-9761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 00026518 | Alabama |
Profile Details
| NPI number | 1477593663 |
|---|---|
| LBN Legal business name | Cochran, Glenn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477593663 | NPPES |
| Mississippi | MEDICAID | 08100515 | |
| Mississippi | Other | 510-01217 |
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