Cochran, Stephen Duane
Cochran, Stephen Duane is an individual health care provider with primary practice located at 8355 Bayberry Rd , Jacksonville FL 32256-4427. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cochran, Stephen Duane can be contacted via phone (904) 733-7254.Contact Information
Primary practice address
8355 Bayberry Rd
Jacksonville FL 32256-4427
Phone: (904) 733-7254
Fax: (904) 731-0144
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DN12667 | Florida |
Profile Details
NPI number | 1639331382 |
---|---|
LBN Legal business name | Cochran, Stephen Duane |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 25th, 2008 |
Last updated | Jun 25th, 2008 - 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 | 1639331382 | NPPES |
Georgia | MEDICAID | 00583877A | |
Georgia | Other | 69399 | |
Georgia | Other | 825658 | |
Georgia | MEDICAID | 074269400 |
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