Cockriel, Dana Rae

Cockriel, Dana Rae is an sole proprietor health care provider with primary practice located at 8505 Haley Ct , North Charleston SC 29406-8800. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Cockriel, Dana Rae can be contacted via phone (843) 425-3627.

Contact Information

Primary practice address
8505 Haley Ct North Charleston SC 29406-8800
Phone: (843) 425-3627
Fax: (843) 797-6675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 3183 South Carolina

Profile Details

NPI number 1639285588
LBN Legal business name Cockriel, Dana Rae
Credentials OTR L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Sep 6th, 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 1639285588 NPPES
South Carolina MEDICAID TH1790

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