Coronado, Annie M
Coronado, Annie M is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Coronado, Annie M can be contacted via phone (509) 488-5256.Contact Information
Primary practice address
1515 E Columbia St
Othello WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60415801 | Washington |
Profile Details
| NPI number | 1154757359 |
|---|---|
| LBN Legal business name | Coronado, Annie M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2013 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154757359 | NPPES |
| Washington | MEDICAID | 2030781 |
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