Coakley, Matthew Lucas

Coakley, Matthew Lucas is an individual health care provider with primary practice located at 4000 Coast Guard Blvd Isc Portsmouth Hsdiv, Portsmouth VA 23703. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Coakley, Matthew Lucas can be contacted via phone (757) 483-8596.

Contact Information

Primary practice address
4000 Coast Guard Blvd Isc Portsmouth Hsdiv Portsmouth VA 23703
Phone: (757) 483-8596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1447270343
LBN Legal business name Coakley, Matthew Lucas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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