Cockerill, Mark
Cockerill, Mark is an individual health care provider with primary practice located at 150 Kingsley Ln , Norfolk VA 23505-4602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Cockerill, Mark can be contacted via phone (757) 889-5422.Contact Information
Primary practice address
150 Kingsley Ln
Norfolk VA 23505-4602
Phone: (757) 889-5422
Fax: (757) 889-5450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101055902 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101055902 | Virginia |
Profile Details
| NPI number | 1033188537 |
|---|---|
| LBN Legal business name | Cockerill, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Feb 11th, 2020 - about 6 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 | 1033188537 | NPPES |
| Virginia | MEDICAID | 7240520 |
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