Cockayne, Jeffrey Bennion
Cockayne, Jeffrey Bennion is an individual health care provider with primary practice located at 496 A St , Idaho Falls ID 83402-3617. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Cockayne, Jeffrey Bennion can be contacted via phone (208) 552-7100.Contact Information
Primary practice address
496 A St
Idaho Falls ID 83402-3617
Phone: (208) 552-7100
Fax: (208) 552-7101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCPC - 3730 | Idaho |
Profile Details
NPI number | 1881719490 |
---|---|
LBN Legal business name | Cockayne, Jeffrey Bennion |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2007 |
Last updated | Jul 9th, 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 | 1881719490 | NPPES |
Idaho | MEDICAID | 80611000 |
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