Derry Cottrell
Individual provider Active NPI Driver · Millville, NJ
NPI 1225522865 · NPPES record last updated Jun 18, 2018
Key facts
- NPI
- 1225522865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 16 Fox Cove Dr
Millville, NJ 08332-4686 - Phone
- (856) 982-5192
- Fax
- (856) 825-8398
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
16 Fox Cove Dr
Millville, NJ 08332-4686
Mailing address
16 Fox Cove Dr
Millville, NJ 08332-4686
Phone (856) 982-5192
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.