Coulter, William C

Coulter, William C is an individual health care provider with primary practice located at 12600 Creekside Ln Ste 6 , Fort Myers FL 33919. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Coulter, William C can be contacted via phone (239) 343-9219.

Contact Information

Primary practice address
12600 Creekside Ln Ste 6 Fort Myers FL 33919
Phone: (239) 343-9219
Fax: (239) 343-9221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA436 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA436 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA436 Kentucky

Profile Details

NPI number 1376591065
LBN Legal business name Coulter, William C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 17th, 2020 - about 6 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 1376591065 NPPES
Kentucky Other 000000655589 ANTHEM BCBS
Kentucky Other 000000667983 ANTHEM BCBS
Kentucky MEDICAID 95001442 ANTHEM BCBS

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