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
Phone: (269) 277-9142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982221149 | NPPES |
| Michigan | MEDICAID | 9210905 |
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