Cozart, Wiley Simeon
Cozart, Wiley Simeon is an sole proprietor health care provider with primary practice located at 344 Gallimore Rd , Brevard NC 28712-8874. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cozart, Wiley Simeon can be contacted via phone (828) 884-4433.Contact Information
Primary practice address
344 Gallimore Rd
Brevard NC 28712-8874
Phone: (828) 884-4433
Fax: (828) 884-7875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5073 | North Carolina |
Profile Details
| NPI number | 1477639250 |
|---|---|
| LBN Legal business name | Cozart, Wiley Simeon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Sep 3rd, 2008 - about 18 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 | 1477639250 | NPPES |
| North Carolina | MEDICAID | 91840 |
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