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Contact Information

JOHN E COTTLE JR, DO
721 RIVER DR
SUITE A
FORT BRAGG, CA95437
 Phone: 707-961-4631
 Fax: 707-964-1192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN E COTTLE JR · (Male)

NPI Number 1447343116
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/02/2006
Last updated 10/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A10161
  • CO License # 34047
  • CO Medicaid 01340470
Hospital affiliation(s)
  • MENDOCINO COAST DISTRICT HOSPITAL - (Critical Access)
    700 RIVER DR
    FORT BRAGG, CA 95437
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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