Jay Randall Cocheba in Mount Vernon - Podiatrist
Jay Randall Cocheba - NPI 1679596365
Jay Randall Cocheba is a Podiatrist in Mount Vernon, Washington. Jay Randall Cocheba practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jay Randall Cocheba is 1679596365. The last update date is 2022-07-21.
Jay Randall Cocheba's current location address is 1617 E Division St, Mount Vernon, Washington. You can contact this provider via phone number 3604244466 and fax number 3602080564. The mailing address for Jay Randall Cocheba is 1617 E Division St, Mount Vernon, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Randall Cocheba |
|---|---|
| Address | 1617 E Division St, Mount Vernon, Washington |
| Phone Number | 3604244466 |
| Fax Number | 3602080564 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1679596365 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1617 E Division St |
|---|---|
| City | Mount Vernon |
| State | Washington (WA) |
| Post Code | 982744503 |
| Phone Number | 3604244466 |
| Fax Number | 3602080564 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO00000773 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264542 | WA | L&I | |
| 1016127 | WA | -- |
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What is the unique 10-digit identifier code issued to Jay Randall Cocheba by the Centers for Medicare & Medicaid Services?
The Jay Randall Cocheba has been assigned the NPI (National Provider Identifier) 1679596365 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jay Randall Cocheba?
The Jay Randall Cocheba is situated at 1617 E Division St, in the city of Mount Vernon, state of WA, with the zip code 982744503.
What is Jay Randall Cocheba's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jay Randall Cocheba is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did Jay Randall Cocheba receive its 1679596365 assignment from the Centers for Medicare & Medicaid Services?
The Jay Randall Cocheba was assigned its 1679596365 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jay Randall Cocheba most recently updated or revised?
The information pertaining to Jay Randall Cocheba, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA