Cockrell, Gilan L

Cockrell, Gilan L is an individual health care provider with primary practice located at 512 Commercial St , Emporia KS 66801-4006. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cockrell, Gilan L can be contacted via phone (620) 343-7120.

Contact Information

Primary practice address
512 Commercial St Emporia KS 66801-4006
Phone: (620) 343-7120
Fax: (620) 343-2038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11473 Kansas
Eye and Vision Services Providers / Optometrist 152W00000X 2183 Oklahoma

Profile Details

NPI number 1386622777
LBN Legal business name Cockrell, Gilan L
Credentials OD FAAO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Sep 24th, 2009 - about 17 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 1386622777 NPPES
Kansas MEDICAID 100217850A
Kansas Other 410001132
Kansas Other 632550001

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