Cotterel, Mason T

Cotterel, Mason T is an sole proprietor health care provider with primary practice located at Southern Illinois University Edwardsville Vc 2201 , Edwardsville IL 62026-3043. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Cotterel, Mason T can be contacted via phone (408) 477-0953.

Contact Information

Primary practice address
Southern Illinois University Edwardsville Vc 2201 Edwardsville IL 62026-3043
Phone: (408) 477-0953
Fax: (618) 650-5880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1467108654
LBN Legal business name Cotterel, Mason T
Credentials MAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2022
Last updated Nov 3rd, 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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