Coulston, Jordan Blaine

Coulston, Jordan Blaine is an individual health care provider with primary practice located at 1900 N Higley Rd , Gilbert AZ 85234-1604. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coulston, Jordan Blaine can be contacted via phone (480) 543-2034.

Contact Information

Primary practice address
1900 N Higley Rd Gilbert AZ 85234-1604
Phone: (480) 543-2034
Fax: (480) 543-2647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43356 Arizona

Profile Details

NPI number 1487850004
LBN Legal business name Coulston, Jordan Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Nov 18th, 2010 - about 16 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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