Cotton, Mark W
Cotton, Mark W is an sole proprietor health care provider with primary practice located at 5610 Sw Lee Blvd , Lawton OK 73505-9635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cotton, Mark W can be contacted via phone (580) 536-6600.Contact Information
Primary practice address
5610 Sw Lee Blvd
Lawton OK 73505-9635
Phone: (580) 536-6600
Fax: (580) 536-2427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3005 | Oklahoma |
Profile Details
| NPI number | 1013911908 |
|---|---|
| LBN Legal business name | Cotton, Mark W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | May 27th, 2014 - about 11 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 | 1013911908 | NPPES |
| Oklahoma | MEDICAID | 100101580B |
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