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Contact Information

SUMMER L COCKAYNE
500 W FORT ST
BOISE, ID83702-4599
 Phone: 208-422-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for SUMMER L COCKAYNE · (Female)

NPI Number 1841783099
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2018
Last updated 05/28/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • CA License # 101285
  • ID License # 58511
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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