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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1760437107 | NPPES |
Idaho | MEDICAID | 805151100 |
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