Cockram, Peter R

Cockram, Peter R is an individual health care provider with primary practice located at 1500 E Sherman Blvd , Muskegon MI 49444-1849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cockram, Peter R can be contacted via phone (231) 672-2000.

Contact Information

Primary practice address
1500 E Sherman Blvd Muskegon MI 49444-1849
Phone: (231) 672-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704126776 Michigan

Profile Details

NPI number 1457331589
LBN Legal business name Cockram, Peter R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Apr 11th, 2012 - about 13 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 1457331589 NPPES
Michigan MEDICAID 4558338

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