Cockroft, Kevin M

Cockroft, Kevin M is an individual health care provider with primary practice located at 30 Hope Dr Ste 1200 , Hershey PA 17033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cockroft, Kevin M can be contacted via phone (717) 531-3828.

Contact Information

Primary practice address
30 Hope Dr Ste 1200 Hershey PA 17033
Fax: (717) 531-0793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD066405L Pennsylvania

Profile Details

NPI number 1356393870
LBN Legal business name Cockroft, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 5th, 2019 - about 5 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 1356393870 NPPES
Pennsylvania MEDICAID 0017087810001

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