Cothron, James T.

Cothron, James T. is an individual health care provider with primary practice located at 4407 N 55Th Ave , Phoenix AZ 85031-1802. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Cothron, James T. can be contacted via phone (623) 691-4300.

Contact Information

Primary practice address
4407 N 55Th Ave Phoenix AZ 85031-1802
Fax: (623) 691-4320
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1972752160
LBN Legal business name Cothron, James T.
Credentials M.S. ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated Sep 12th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972752160 NPPES
Arizona MEDICAID 554908

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