Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 12330 | NE |
NPI | 1013946318 |
---|---|
Provider Name | Robert M Cochran |
First Address | Omaha, NE 68154-4428 |
Second Address | Omaha, NE 68154-4428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 04/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01444 | BCBS NE (01) | NE |
0915363 | (05) | IA |
47063714400 | (05) | NE |
B67821 | (02) | NE |