Individual
JACLYN R COCHRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-3701
Mailing address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-3701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881695484
CLINI'S NPI
MI
01
—
5601005220
STATE LICENSE
MI
Enumeration date
09/15/2008
Last updated
12/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us