Cockrum, Jordan

Cockrum, Jordan is an individual health care provider with primary practice located at 1700 Clinton St , Muskegon MI 49442-5502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cockrum, Jordan can be contacted via phone (231) 728-4601.

Contact Information

Primary practice address
1700 Clinton St Muskegon MI 49442-5502
Phone: (231) 728-4601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601008853 Michigan

Profile Details

NPI number 1962987362
LBN Legal business name Cockrum, Jordan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2018
Last updated Dec 30th, 2019 - about 7 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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