Coglianese, Mark J

Coglianese, Mark J is an individual health care provider with primary practice located at 217 N 2Nd E , Rexburg ID 83440-1621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Coglianese, Mark J can be contacted via phone (208) 359-6127.

Contact Information

Primary practice address
217 N 2Nd E Rexburg ID 83440-1621
Phone: (208) 359-6127
Fax: (208) 359-6127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1375 Nevada
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2916 Idaho

Profile Details

NPI number 1912912791
LBN Legal business name Coglianese, Mark J
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Feb 9th, 2021 - about 5 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 1912912791 NPPES
Idaho MEDICAID 1912912791
Idaho MEDICAID 1912912791

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