Cockerill, David W.
Cockerill, David W. is an individual health care provider with primary practice located at 100 Navarre Pl Suite 6600, South Bend IN 46601-1156. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Cockerill, David W. can be contacted via phone (574) 232-7227.Contact Information
Primary practice address
100 Navarre Pl Suite 6600
South Bend IN 46601-1156
Phone: (574) 232-7227
Fax: (574) 232-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01059005A | Indiana |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 01059005A | Indiana |
Profile Details
| NPI number | 1497783443 |
|---|---|
| LBN Legal business name | Cockerill, David W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Oct 14th, 2010 - 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 | 1497783443 | NPPES |
| Indiana | MEDICAID | 200484210A |
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