Kacher Cobb, Jill M

Kacher Cobb, Jill M is an individual health care provider with primary practice located at 3000 Colby St Suite 205, Berkeley CA 94705-2083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kacher Cobb, Jill M can be contacted via phone (510) 666-0854.

Contact Information

Primary practice address
3000 Colby St Suite 205 Berkeley CA 94705-2083
Fax: (510) 666-1192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A82012 California

Profile Details

NPI number 1710992516
LBN Legal business name Kacher Cobb, Jill M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 19th, 2014 - about 12 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 1710992516 NPPES
California MEDICAID 00A820120

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