Cotch, Darrel L

Cotch, Darrel L is an individual health care provider with primary practice located at 1811 Weir Drive Suite 355, Woodbury MN 55125-2273. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cotch, Darrel L can be contacted via phone (651) 254-8580.

Contact Information

Primary practice address
1811 Weir Drive Suite 355 Woodbury MN 55125-2273
Phone: (651) 254-8580
Fax: (651) 730-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8914 Minnesota

Profile Details

NPI number 1164495016
LBN Legal business name Cotch, Darrel L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164495016 NPPES
Minnesota MEDICAID 214341100

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