Cockerhan, Jacob

Cockerhan, Jacob is an individual health care provider with primary practice located at 279 Summit Dr , Waterford MI 48328-3364. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Cockerhan, Jacob can be contacted via phone (248) 745-4900.

Contact Information

Primary practice address
279 Summit Dr Waterford MI 48328-3364
Phone: (248) 745-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704315433 Michigan
Nursing Service Providers / Registered Nurse 163W00000X 4704315433 Michigan

Profile Details

NPI number 1922539378
LBN Legal business name Cockerhan, Jacob
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Nov 3rd, 2022 - 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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