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NPI Code Detail

MEDICARE: JEREMY COCHRAN

MEDICARE: JEREMY COCHRAN
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1659235356
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY COCHRAN
Provider Business Mailing Address
First Line : 219 HARTMAN RUN RD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-5377
Country : US
Telephone Number : 304-292-6880
Fax Number : 304-292-6881
Provider Business Practice Location Address
First Line : 219 HARTMAN RUN RD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-5377
Country : US
Telephone Number : 304-292-6880
Fax Number : 304-292-6881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ JEREMY COCHRAN ” Practice Location

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