Cochran, Vicky

Cochran, Vicky is an individual health care provider with primary practice located at 3248 Vandever Ave , Pekin IL 61554-6274. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cochran, Vicky can be contacted via phone (309) 347-5579.

Contact Information

Primary practice address
3248 Vandever Ave Pekin IL 61554-6274
Phone: (309) 347-5579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1073187514
LBN Legal business name Cochran, Vicky
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2021
Last updated May 19th, 2021 - about 4 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 1073187514 NPPES
Other 101YA0400X TAXONOMY

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