Provider Demographics
NPI:1699668756
Name:COBIAN, SOPHIA ADELE
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:ADELE
Last Name:COBIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N7861 920TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-4423
Mailing Address - Country:US
Mailing Address - Phone:715-410-9352
Mailing Address - Fax:
Practice Address - Street 1:901 DOMINION DR STE A
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9333
Practice Address - Country:US
Practice Address - Phone:715-808-8070
Practice Address - Fax:715-808-8009
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program