Coats, Charles L

Coats, Charles L is an individual health care provider with primary practice located at 1330 N Coliseum Blvd , Fort Wayne IN 46805-5526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coats, Charles L can be contacted via phone (260) 447-8982.

Contact Information

Primary practice address
1330 N Coliseum Blvd Fort Wayne IN 46805-5526
Phone: (260) 447-8982
Fax: (260) 447-4483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01053073A Indiana

Profile Details

NPI number 1700887262
LBN Legal business name Coats, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700887262 NPPES
Indiana MEDICAID 200231180

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