Cockburn, Dorothy Diane

Cockburn, Dorothy Diane is an individual health care provider with primary practice located at 1101 S Belmont Ave Ste 205, Okmulgee OK 74447-6315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cockburn, Dorothy Diane can be contacted via phone (918) 756-8371.

Contact Information

Primary practice address
1101 S Belmont Ave Ste 205 Okmulgee OK 74447-6315
Phone: (918) 756-8371
Fax: (918) 758-3437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R0024127 Oklahoma

Profile Details

NPI number 1730186651
LBN Legal business name Cockburn, Dorothy Diane
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 18 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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