Cochran, Jordan Elain

Cochran, Jordan Elain is an individual health care provider with primary practice located at 4106 6Th Ave , Kearney NE 68845-3395. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cochran, Jordan Elain can be contacted via phone (308) 237-3479.

Contact Information

Primary practice address
4106 6Th Ave Kearney NE 68845-3395
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6551 Nebraska

Profile Details

NPI number 1609974104
LBN Legal business name Cochran, Jordan Elain
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1609974104 NPPES
Nebraska MEDICAID 47055213001

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