Cottrell, Carl C
Cottrell, Carl C is an sole proprietor health care provider with primary practice located at 820 Coburn Ave , Worland WY 82401-3317. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cottrell, Carl C can be contacted via phone (307) 347-6141.Contact Information
Primary practice address
820 Coburn Ave
Worland WY 82401-3317
Phone: (307) 347-6141
Fax: (307) 347-6142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 255T | Wyoming |
Profile Details
| NPI number | 1740222512 |
|---|---|
| LBN Legal business name | Cottrell, Carl C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 8th, 2020 - about 4 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 | 1740222512 | NPPES |
| South Dakota | MEDICAID | 9200460 | |
| South Dakota | Other | 307683 | |
| South Dakota | MEDICAID | 1134451-00 | |
| South Dakota | MEDICAID | 307683 |
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