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NPI Code Detail

MEDICARE: JOSEPH COTTON

MEDICARE:   JOSEPH  COTTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0104557261VA

General Provider Information

NPI Number : 1902294069
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH COTTON
Provider Business Mailing Address
First Line : 117 SHERATON DR
Second Line :
City : SALEM
State : VA
Zip : 24153-3003
Country : US
Telephone Number : 651-451-6839
Fax Number :
Provider Business Practice Location Address
First Line : 1633 ROBERT ST S
Second Line :
City : WEST ST PAUL
State : MN
Zip : 55118-3969
Country : US
Telephone Number : 651-451-6839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2014
Last Update Date : 01/20/2016

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Directions to “ JOSEPH COTTON ” Practice Location

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