Provider Demographics
NPI:1942054812
Name:COCHRAN, BOBBI JO
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:JO
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:JO
Other - Last Name:MESSINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:265 EVERETT AVE APT F
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-6380
Mailing Address - Country:US
Mailing Address - Phone:740-814-3842
Mailing Address - Fax:
Practice Address - Street 1:909 NORTHERN SONGS LN
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-7297
Practice Address - Country:US
Practice Address - Phone:740-915-6099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker