Coisman, Jason G

Coisman, Jason G is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Coisman, Jason G can be contacted via phone (920) 433-3500.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Fax: (920) 433-7932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-113102 Illinois

Profile Details

NPI number 1538135926
LBN Legal business name Coisman, Jason G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Sep 29th, 2008 - about 18 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 1538135926 NPPES
Wisconsin MEDICAID 37580400

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