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General NPI Number Information
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NPI Number | 1013039759
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Entity Type | Individual
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Provider Name | JASON COCHRAN DO
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 2815 S PENNSYLVANIA AVE SUITE 204
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City | LANSING
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State | MI
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Zip | 48910
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Country | US
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Telephone | 517-267-0200
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Fax | 517-267-1877
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Provider Business Mailing Address
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Address Line | 2815 S PENNSYLVANIA AVE SUITE 204
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City | LANSING
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State | MI
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Zip | 48910
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Country | US
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Telephone | 517-267-0200
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Fax | 517-267-1877
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 5101015359
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9041
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2233
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License Number State | WV
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