Coughlin, Bradley Philip

Coughlin, Bradley Philip is an individual health care provider with primary practice located at 2767 Janitell Rd , Colorado Springs CO 80906-4102. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Coughlin, Bradley Philip can be contacted via phone (719) 365-2888.

Contact Information

Primary practice address
2767 Janitell Rd Colorado Springs CO 80906-4102
Phone: (719) 365-2888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002173 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2850 Colorado

Profile Details

NPI number 1053399451
LBN Legal business name Coughlin, Bradley Philip
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated May 12th, 2020 - 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 1053399451 NPPES
Virginia Other TN0141 JOHN DEERE HEALTH
Virginia MEDICAID 010213355 JOHN DEERE HEALTH
Virginia Other P00306338 JOHN DEERE HEALTH

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