Provider Demographics
NPI:1962854141
Name:COCHRAN, PATRICIA JANE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JANE
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:JANE
Other - Last Name:BECKELHYMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HHA
Mailing Address - Street 1:2469 LAUREL PT. ISABEL RD.
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:OH
Mailing Address - Zip Code:45153
Mailing Address - Country:US
Mailing Address - Phone:513-515-6491
Mailing Address - Fax:
Practice Address - Street 1:2469 LAUREL PT. ISABEL RD.
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:OH
Practice Address - Zip Code:45153
Practice Address - Country:US
Practice Address - Phone:513-515-6491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2745024374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide