Cockerell, Charles Frederick

Cockerell, Charles Frederick is an individual health care provider with primary practice located at 205 W R D Mize Rd Suite 304, Blue Springs MO 64014-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cockerell, Charles Frederick can be contacted via phone (816) 228-4770.

Contact Information

Primary practice address
205 W R D Mize Rd Suite 304 Blue Springs MO 64014-2518
Phone: (816) 228-4770
Fax: (816) 228-1156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R9052 Missouri

Profile Details

NPI number 1740287549
LBN Legal business name Cockerell, Charles Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 27th, 2012 - about 14 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 1740287549 NPPES
Other 07973031 BLUE CROSS/BLUE SHIELD
Other 312720 BLUE CROSS/BLUE SHIELD
Other 1208133 BLUE CROSS/BLUE SHIELD
Other 202400 BLUE CROSS/BLUE SHIELD
Other 4001376 BLUE CROSS/BLUE SHIELD
Other 202401 BLUE CROSS/BLUE SHIELD
MEDICAID 200110211 BLUE CROSS/BLUE SHIELD

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