Cottle, John L

Cottle, John L is an individual health care provider with primary practice located at 3700 Sw Cheddington Dr , Lees Summit MO 64082-4797. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cottle, John L can be contacted via phone (816) 623-9990.

Contact Information

Primary practice address
3700 Sw Cheddington Dr Lees Summit MO 64082-4797
Phone: (816) 623-9990
Fax: (816) 623-9449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2004016908 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1680 Kansas

Profile Details

NPI number 1396743472
LBN Legal business name Cottle, John L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2019 - about 7 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 1396743472 NPPES
Missouri MEDICAID 1396743472

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