Cottrell, Carl C

Cottrell, Carl C is an sole proprietor health care provider with primary practice located at 820 Coburn Ave , Worland WY 82401-3317. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cottrell, Carl C can be contacted via phone (307) 347-6141.

Contact Information

Primary practice address
820 Coburn Ave Worland WY 82401-3317
Phone: (307) 347-6141
Fax: (307) 347-6142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 255T Wyoming

Profile Details

NPI number 1740222512
LBN Legal business name Cottrell, Carl C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Dec 8th, 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 1740222512 NPPES
South Dakota MEDICAID 9200460
South Dakota Other 307683
South Dakota MEDICAID 1134451-00
South Dakota MEDICAID 307683

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