Cotteral, Russell Norman
Cotteral, Russell Norman is an sole proprietor health care provider with primary practice located at 940 Sylva Ln Ste H , Sonora CA 95370-5969. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cotteral, Russell Norman can be contacted via phone (209) 532-4132.Contact Information
Primary practice address
940 Sylva Ln Ste H
Sonora CA 95370-5969
Phone: (209) 532-4132
Fax: (209) 532-6749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9134 | California |
Profile Details
| NPI number | 1619911047 |
|---|---|
| LBN Legal business name | Cotteral, Russell Norman |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 11th, 2024 - about 8 months 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 | 1619911047 | NPPES |
| California | Other | 12452 | MEDICAL EYE SERVICES |
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