Coughlin, Martin W

Coughlin, Martin W is an individual health care provider with primary practice located at 393 Dunlap St , St Paul MN 55104. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Coughlin, Martin W can be contacted via phone (651) 602-7245.

Contact Information

Primary practice address
393 Dunlap St St Paul MN 55104
Phone: (651) 602-7245
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0887281 Minnesota

Profile Details

NPI number 1700850997
LBN Legal business name Coughlin, Martin W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 31st, 2012 - 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 1700850997 NPPES
Minnesota MEDICAID 936343200

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