Cockerell, John Allen

Cockerell, John Allen is an sole proprietor health care provider with primary practice located at 1308 E Kiehl Ave , Sherwood AR 72120-3040. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cockerell, John Allen can be contacted via phone (501) 835-0703.

Contact Information

Primary practice address
1308 E Kiehl Ave Sherwood AR 72120-3040
Phone: (501) 835-0703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-11342 Arkansas

Profile Details

NPI number 1669867099
LBN Legal business name Cockerell, John Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2015
Last updated Jul 1st, 2024 - about last year

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 1669867099 NPPES
Arkansas MEDICAID T1AR5058

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