Cogdill, Jason Matthew

Cogdill, Jason Matthew is an sole proprietor health care provider with primary practice located at 115 Eighth Street Ne , Cedar Rapids IA 52401-1097. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cogdill, Jason Matthew can be contacted via phone (319) 363-3565.

Contact Information

Primary practice address
115 Eighth Street Ne Cedar Rapids IA 52401-1097
Phone: (319) 363-3565
Fax: (319) 363-4001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 40495 Iowa
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 40495 Ohio

Profile Details

NPI number 1265458681
LBN Legal business name Cogdill, Jason Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Sep 12th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265458681 NPPES
Iowa Other 40495 IOWA LICENSE NUMBER
Iowa Other 99979 IOWA LICENSE NUMBER

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