Cogburn, Michael David
Cogburn, Michael David is an individual health care provider with primary practice located at 78 Long Shoals Rd , Arden NC 28704-7782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cogburn, Michael David can be contacted via phone (828) 684-0703.Contact Information
Primary practice address
78 Long Shoals Rd
Arden NC 28704-7782
Phone: (828) 684-0703
Fax: (828) 684-5344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 29542 | North Carolina |
Profile Details
| NPI number | 1912972811 |
|---|---|
| LBN Legal business name | Cogburn, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Aug 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912972811 | NPPES |
| North Carolina | MEDICAID | 7923470 |
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