Cockerill, Mark

Cockerill, Mark is an individual health care provider with primary practice located at 150 Kingsley Ln , Norfolk VA 23505-4602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Cockerill, Mark can be contacted via phone (757) 889-5422.

Contact Information

Primary practice address
150 Kingsley Ln Norfolk VA 23505-4602
Phone: (757) 889-5422
Fax: (757) 889-5450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101055902 Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101055902 Virginia

Profile Details

NPI number 1033188537
LBN Legal business name Cockerill, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 11th, 2020 - about 4 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 1033188537 NPPES
Virginia MEDICAID 7240520

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