Cottle, Charles E.
Cottle, Charles E. is an sole proprietor health care provider with primary practice located at 4219 S Western Ave , Oklahoma City OK 73109-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Cottle, Charles E. can be contacted via phone (405) 644-5356.Contact Information
Primary practice address
4219 S Western Ave
Oklahoma City OK 73109-3410
Phone: (405) 644-5356
Fax: (405) 636-7946
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 34905 | Oklahoma |
Profile Details
NPI number | 1275543431 |
---|---|
LBN Legal business name | Cottle, Charles E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 9th, 2006 |
Last updated | Jul 10th, 2019 - about 5 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 | 1275543431 | NPPES |
Texas | Other | 176783000 | OWCP |
Texas | Other | 250006941 | OWCP |
Texas | Other | 2221992 | OWCP |
Texas | Other | 4103577 | OWCP |
Texas | MEDICAID | 1311425-05 | OWCP |
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