Cotton, Karl Cornelious

Cotton, Karl Cornelious is an sole proprietor health care provider with primary practice located at 946 Monroe St , Benton Harbor MI 49022-4832. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Cotton, Karl Cornelious can be contacted via phone (269) 277-9142.

Contact Information

Primary practice address
946 Monroe St Benton Harbor MI 49022-4832
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1982221149
LBN Legal business name Cotton, Karl Cornelious
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2020
Last updated Jul 2nd, 2020 - about 6 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 1982221149 NPPES
Michigan MEDICAID 9210905

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