Cockerline, Elizabeth J

Cockerline, Elizabeth J is an individual health care provider with primary practice located at 36 Bridge Way , Pascoag RI 02859-3131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cockerline, Elizabeth J can be contacted via phone (401) 567-0800.

Contact Information

Primary practice address
36 Bridge Way Pascoag RI 02859-3131
Fax: (401) 568-7949
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 54339 Maine

Profile Details

NPI number 1215126511
LBN Legal business name Cockerline, Elizabeth J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Nov 22nd, 2011 - about 15 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 1215126511 NPPES
Maine MEDICAID 432740399

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