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
Fax: (208) 552-7101
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881719490 NPPES
Idaho MEDICAID 80611000

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