Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 34.013778 | OH |
NPI | 1013308634 |
---|---|
Provider Name | Megan Cochran |
First Address | Marion, OH 43302-6416 |
Second Address | Columbus, OH 43228-1607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2015 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0148377 | (05) | OH |