Provider Demographics
NPI:1497945117
Name:COBB, JAMES ELLSON (DVM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ELLSON
Last Name:COBB
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45840 KIPTON NICKLE PLATE
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-9752
Mailing Address - Country:US
Mailing Address - Phone:440-774-5311
Mailing Address - Fax:440-774-3786
Practice Address - Street 1:45840 KIPTON NICKLE PLATE
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-9752
Practice Address - Country:US
Practice Address - Phone:440-774-5311
Practice Address - Fax:440-774-3786
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2984174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian