Cosgrove, Jeffery Clinton

Cosgrove, Jeffery Clinton is an sole proprietor health care provider with primary practice located at 1905 Lakeview Dr , Portage MI 49002-6926. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Cosgrove, Jeffery Clinton can be contacted via phone (269) 323-4605.

Contact Information

Primary practice address
1905 Lakeview Dr Portage MI 49002-6926
Phone: (269) 323-4605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901003809 Michigan

Profile Details

NPI number 1952323404
LBN Legal business name Cosgrove, Jeffery Clinton
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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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