Cottrell, Gary Thomas

Cottrell, Gary Thomas is an individual health care provider with primary practice located at 410 S Third St Speech & Hearing Clinic, River Falls WI 54022. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Cottrell, Gary Thomas can be contacted via phone (715) 425-6801.

Contact Information

Primary practice address
410 S Third St Speech & Hearing Clinic River Falls WI 54022
Phone: (715) 425-6801
Fax: (715) 425-3800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 123156 Wisconsin

Profile Details

NPI number 1306984109
LBN Legal business name Cottrell, Gary Thomas
Credentials PHD CCC A
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1306984109 NPPES
Other 7662082 ATENA
Other 56443CO ATENA
Other 41050400 ATENA
Other 4680415 ATENA
Other 1005569 ATENA
MEDICAID 41125400 ATENA
Other 56443CO ATENA

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