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Contact Information

JEFFERY C COSGROVE, OD
1905 LAKEVIEW DR
PORTAGE, MI49002-6926
 Phone: 269-323-4605
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFERY C COSGROVE · (Male)

NPI Number 1952323404
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4901003809
Hospital affiliation(s) Not Available
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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