Cotter, Jason William

Cotter, Jason William is an individual health care provider with primary practice located at 75 Baylor Dr Suite 290, Bluffton SC 29910-8965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cotter, Jason William can be contacted via phone (843) 705-8919.

Contact Information

Primary practice address
75 Baylor Dr Suite 290 Bluffton SC 29910-8965
Phone: (843) 705-8919
Fax: (843) 705-7024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 200300326 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X TL31669 South Carolina

Profile Details

NPI number 1801859640
LBN Legal business name Cotter, Jason William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 16th, 2014 - about 12 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 1801859640 NPPES
North Carolina MEDICAID 89134Y8
North Carolina MEDICAID 316697

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