Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2233 | WV |
N | 207X00000X | Orthopaedic Surgeon | 9041 | OH |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 5101015359 | MI |
NPI | 1013039759 |
---|---|
Provider Name | Jason Cochran |
First Address | Lansing, MI 48910 |
Second Address | Lansing, MI 48910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 03/08/2016 |