Cockle, Keith

Cockle, Keith is an individual health care provider with primary practice located at 1115 Harbor Rd , Grove OK 74344-3505. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Cockle, Keith can be contacted via phone (918) 786-4434.

Contact Information

Primary practice address
1115 Harbor Rd Grove OK 74344-3505
Phone: (918) 786-4434
Fax: (918) 786-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 129951 Oklahoma

Profile Details

NPI number 1376908962
LBN Legal business name Cockle, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2015
Last updated Apr 10th, 2017 - about 8 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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