Cottle, John Ernest

Cottle, John Ernest is an sole proprietor health care provider with primary practice located at 721 River Dr Suite A, Fort Bragg CA 95437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cottle, John Ernest can be contacted via phone (707) 961-4631.

Contact Information

Primary practice address
721 River Dr Suite A Fort Bragg CA 95437
Phone: (707) 961-4631
Fax: (707) 964-1192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34047 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A10161 California

Profile Details

NPI number 1447343116
LBN Legal business name Cottle, John Ernest
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Oct 19th, 2012 - about 12 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 1447343116 NPPES
Colorado MEDICAID 01340470

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