Individual
JUSTIN NICHOLAS COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16018 SOMERSBY AVE, BATON ROUGE, LA 70817-6100
(225) 888-5611
Mailing address
16018 SOMERSBY AVE, BATON ROUGE, LA 70817-6100
(225) 888-5611
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
84-3847164
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-3847164
—
LA
Enumeration date
12/04/2019
Last updated
01/23/2020
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