Cozzetta, Michael R.

Cozzetta, Michael R. is an individual health care provider with primary practice located at 1620 Fortino Blvd , Pueblo CO 81008-1856. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cozzetta, Michael R. can be contacted via phone (719) 542-3555.

Contact Information

Primary practice address
1620 Fortino Blvd Pueblo CO 81008-1856
Phone: (719) 542-3555
Fax: (719) 542-0776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1347 Colorado

Profile Details

NPI number 1043277973
LBN Legal business name Cozzetta, Michael R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 28th, 2013 - about 13 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 1043277973 NPPES
Other 1376983924 GROUP NPI
Other 410014546 GROUP NPI
Other 1679744841 GROUP NPI
MEDICAID 8013476 GROUP NPI
Other 1679525208 GROUP NPI

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