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NPI Code Detail

MEDICARE: DR. DOUGLAS R COCHRAN D.C.

MEDICARE:  DR. DOUGLAS R COCHRAN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038005729IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23915223OTHERILBLUE CROSS BLUE SHIELD IL

General Provider Information

NPI Number : 1437156718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS R COCHRAN D.C.
Provider Business Mailing Address
First Line : 301 N HICKORY ST
Second Line :
City : DU QUOIN
State : IL
Zip : 62832-1732
Country : US
Telephone Number : 618-542-6262
Fax Number : 618-542-6263
Provider Business Practice Location Address
First Line : 301 N HICKORY ST
Second Line :
City : DU QUOIN
State : IL
Zip : 62832-1732
Country : US
Telephone Number : 618-542-6262
Fax Number : 618-542-6263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 08/12/2015

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Directions to “ DR. DOUGLAS R COCHRAN D.C.” Practice Location

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