Cockerham, Debbie

Cockerham, Debbie is an individual health care provider with primary practice located at 22115 Roscoe Blvd , Canoga Park CA 91304-3839. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Cockerham, Debbie can be contacted via phone (818) 884-8100.

Contact Information

Primary practice address
22115 Roscoe Blvd Canoga Park CA 91304-3839
Phone: (818) 884-8100
Fax: (818) 884-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X LV11726 California

Profile Details

NPI number 1417285594
LBN Legal business name Cockerham, Debbie
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2009
Last updated Nov 30th, 2009 - about 15 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 1417285594 NPPES
California MEDICAID 7283

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