Cottle, Sandra L

Cottle, Sandra L is an individual health care provider with primary practice located at 830 Pennsylvania Ave Ste 402, Charleston WV 25302-3390. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Cottle, Sandra L can be contacted via phone (304) 343-5735.

Contact Information

Primary practice address
830 Pennsylvania Ave Ste 402 Charleston WV 25302-3390
Fax: (304) 343-5271
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 081 West Virginia

Profile Details

NPI number 1427051549
LBN Legal business name Cottle, Sandra L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 21st, 2014 - about 10 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 1427051549 NPPES
West Virginia Other 000107768 MS BCBS
West Virginia MEDICAID 0160043000 MS BCBS
West Virginia MEDICAID 1160043000 MS BCBS

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