Cotter, Jonathan Joseph
Cotter, Jonathan Joseph is an sole proprietor health care provider with primary practice located at 3110 Glendale Ave , Wausau WI 54401-4050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cotter, Jonathan Joseph can be contacted via phone (715) 845-8891.Contact Information
Primary practice address
3110 Glendale Ave
Wausau WI 54401-4050
Phone: (715) 845-8891
Fax: (715) 845-8891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46432-020 | Wisconsin |
Profile Details
| NPI number | 1003989724 |
|---|---|
| LBN Legal business name | Cotter, Jonathan Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003989724 | NPPES |
| Wisconsin | MEDICAID | 34668700 |
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