Cogley, Patrick J

Cogley, Patrick J is an sole proprietor health care provider with primary practice located at 210 4Th Ave , Grinnell IA 50112-0780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cogley, Patrick J can be contacted via phone (641) 236-2500.

Contact Information

Primary practice address
210 4Th Ave Grinnell IA 50112-0780
Phone: (641) 236-2500
Fax: (641) 236-2539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34265 Iowa

Profile Details

NPI number 1417941717
LBN Legal business name Cogley, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Oct 22nd, 2008 - about 18 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 1417941717 NPPES
Iowa Other 26004052850112A002 TRICARE PROVIDER #
Iowa Other DD7484 TRICARE PROVIDER #
Iowa MEDICAID 0414755 TRICARE PROVIDER #
Iowa Other 35853 TRICARE PROVIDER #
Iowa MEDICAID 6250597 TRICARE PROVIDER #
Iowa Other P00060875 TRICARE PROVIDER #

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