Cottingham, Teri J

Cottingham, Teri J is an sole proprietor health care provider with primary practice located at 999 N Curtis Rd Ste 505, Boise ID 83706-1336. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Cottingham, Teri J can be contacted via phone (208) 327-9521.

Contact Information

Primary practice address
999 N Curtis Rd Ste 505 Boise ID 83706-1336
Phone: (208) 327-9521
Fax: (208) 327-9524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M7506 Idaho
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X M-7506 Idaho
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X M-7506 Idaho

Profile Details

NPI number 1760437107
LBN Legal business name Cottingham, Teri J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jun 14th, 2011 - about 13 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 1760437107 NPPES
Idaho MEDICAID 805151100

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