Cochran, Terence A

Cochran, Terence A is an sole proprietor health care provider with primary practice located at 103 Squirrel Run , Clarks Green PA 18411-8960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Cochran, Terence A can be contacted via phone (570) 587-3703.

Contact Information

Primary practice address
103 Squirrel Run Clarks Green PA 18411-8960
Phone: (570) 587-3703
Fax: (570) 585-8132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD016183E Pennsylvania

Profile Details

NPI number 1619902517
LBN Legal business name Cochran, Terence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 25th, 2013 - about 13 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 1619902517 NPPES
Pennsylvania MEDICAID 310011525440003

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