Cockley, Mark

Cockley, Mark is an individual health care provider with primary practice located at 600 N Westhaven Dr , Oshkosh WI 54904-6926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cockley, Mark can be contacted via phone (902) 237-5000.

Contact Information

Primary practice address
600 N Westhaven Dr Oshkosh WI 54904-6926
Phone: (902) 237-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35075026 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 82456 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35075026 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 82456 Wisconsin

Profile Details

NPI number 1669456422
LBN Legal business name Cockley, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 8th, 2023 - 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 1669456422 NPPES
Ohio MEDICAID 2139760

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