Cottrell, Michael L
Cottrell, Michael L is an sole proprietor health care provider with primary practice located at 3915 S Cedar Crest Cir #804, Independence MO 64055-5492. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cottrell, Michael L can be contacted via phone (816) 810-1870.Contact Information
Primary practice address
3915 S Cedar Crest Cir #804
Independence MO 64055-5492
Phone: (816) 810-1870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13094 | Missouri |
Profile Details
| NPI number | 1972595114 |
|---|---|
| LBN Legal business name | Cottrell, Michael L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Feb 23rd, 2010 - about 16 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 | 1972595114 | NPPES |
| Missouri | MEDICAID | 1631 |
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