Cochran, Terry Wesley
Cochran, Terry Wesley is an individual health care provider with primary practice located at 2000B South Main St , Fairfield IA 52556-3740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cochran, Terry Wesley can be contacted via phone (641) 472-4156.Contact Information
Primary practice address
2000B South Main St
Fairfield IA 52556-3740
Phone: (641) 472-4156
Fax: (641) 472-9436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25577 | Iowa |
Profile Details
| NPI number | 1053326496 |
|---|---|
| LBN Legal business name | Cochran, Terry Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 17th, 2009 - about 16 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 | 1053326496 | NPPES |
| Iowa | MEDICAID | 1030676 | |
| Iowa | Other | 27519 |
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