Cottam, Daniel Rhead

Cottam, Daniel Rhead is an sole proprietor health care provider with primary practice located at 1046 E 100 S , Salt Lake City UT 84102-1520. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cottam, Daniel Rhead can be contacted via phone (801) 746-2885.

Contact Information

Primary practice address
1046 E 100 S Salt Lake City UT 84102-1520
Phone: (801) 746-2885
Fax: (801) 746-2886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10997 Nevada
Allopathic & Osteopathic Physicians / Surgery 208600000X 6655906-1205 Utah

Profile Details

NPI number 1760574776
LBN Legal business name Cottam, Daniel Rhead
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jan 10th, 2022 - about 3 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 1760574776 NPPES
Utah MEDICAID 1760574776
Utah MEDICAID 100503622
Utah Other 10997

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