Cottrell, Dominic Joseph

Cottrell, Dominic Joseph is an individual health care provider with primary practice located at 1824 Murdoch Ave , Parkersburg WV 26101-3230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cottrell, Dominic Joseph can be contacted via phone (304) 424-4695.

Contact Information

Primary practice address
1824 Murdoch Ave Parkersburg WV 26101-3230
Phone: (304) 424-4695
Fax: (304) 422-3924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19769 West Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35087051 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200101192 North Carolina

Profile Details

NPI number 1558340174
LBN Legal business name Cottrell, Dominic Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1558340174 NPPES
West Virginia MEDICAID 1841933000
West Virginia MEDICAID 2411223

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