Coman, Mark

Coman, Mark is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Coman, Mark can be contacted via phone (860) 358-6394.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-6394
Fax: (860) 358-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 232 Connecticut

Profile Details

NPI number 1184814956
LBN Legal business name Coman, Mark
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Dec 27th, 2011 - about 14 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 1184814956 NPPES
Connecticut Other 000232 CT LICENSE

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