Cotter, John Burley

Cotter, John Burley is an individual health care provider with primary practice located at 1270 Peach St , San Luis Obispo CA 93401-2856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cotter, John Burley can be contacted via phone (805) 541-1342.

Contact Information

Primary practice address
1270 Peach St San Luis Obispo CA 93401-2856
Phone: (805) 541-1342
Fax: (805) 541-5836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C39584 California

Profile Details

NPI number 1124021746
LBN Legal business name Cotter, John Burley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1124021746 NPPES
California Other C39584 STATE MEDICAL LICENSE

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