Coburn, Michael

Coburn, Michael is an individual health care provider with primary practice located at 3101 N Canterbury Ct , Bloomington IN 47404-1500. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Coburn, Michael can be contacted via phone (812) 650-3032.

Contact Information

Primary practice address
3101 N Canterbury Ct Bloomington IN 47404-1500
Phone: (812) 650-3032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1629636022
LBN Legal business name Coburn, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2019
Last updated Dec 2nd, 2021 - about 4 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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