Cotter, Jason William
Cotter, Jason William is an individual health care provider with primary practice located at 75 Baylor Dr Suite 290, Bluffton SC 29910-8965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cotter, Jason William can be contacted via phone (843) 705-8919.Contact Information
Primary practice address
75 Baylor Dr Suite 290
Bluffton SC 29910-8965
Phone: (843) 705-8919
Fax: (843) 705-7024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200300326 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TL31669 | South Carolina |
Profile Details
| NPI number | 1801859640 |
|---|---|
| LBN Legal business name | Cotter, Jason William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 16th, 2014 - about 11 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 | 1801859640 | NPPES |
| North Carolina | MEDICAID | 89134Y8 | |
| North Carolina | MEDICAID | 316697 |
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