Cottrell, Susan Gail
Cottrell, Susan Gail is an individual health care provider with primary practice located at Lecom 101 Lecom Way, Defuniak Springs FL 32435. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cottrell, Susan Gail can be contacted via phone (850) 951-0200.Contact Information
Primary practice address
Lecom 101 Lecom Way
Defuniak Springs FL 32435
Phone: (850) 951-0200
Fax: (850) 951-6706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 13050 | Florida |
Profile Details
| NPI number | 1467494427 |
|---|---|
| LBN Legal business name | Cottrell, Susan Gail |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 17th, 2021 - 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.
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