Coates, Edward Augustus
Coates, Edward Augustus is an sole proprietor health care provider with primary practice located at 6313 Clark Lake Drive , Trinity FL 34655-6014. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Coates, Edward Augustus can be contacted via phone (727) 645-6604.Contact Information
Primary practice address
6313 Clark Lake Drive
Trinity FL 34655-6014
Phone: (727) 645-6604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01446 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6688 | Florida |
Profile Details
| NPI number | 1689682346 |
|---|---|
| LBN Legal business name | Coates, Edward Augustus |
| Credentials | LCSW, ED.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | May 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689682346 | NPPES |
| Rhode Island | Other | 050258858 | PACIFICARE-GROUP |
| Rhode Island | Other | 31157-3 | PACIFICARE-GROUP |
| Rhode Island | Other | 1021740 | PACIFICARE-GROUP |
| Rhode Island | Other | 12397075 | PACIFICARE-GROUP |
| Rhode Island | Other | 413245 | PACIFICARE-GROUP |
| Rhode Island | Other | 62-35076 | PACIFICARE-GROUP |
| Rhode Island | Other | 8274442000 | PACIFICARE-GROUP |
| Rhode Island | MEDICAID | EC59037 | PACIFICARE-GROUP |
| Rhode Island | Other | 526273 | PACIFICARE-GROUP |
Popular Providers
-
Mccormick, Barbara A
9005 Callaway Dr , Trinity FL 34655-4614 -
Aveni, James Vincent
901 Wallace Blvd Bldg 501, Amarillo TX 79106-1705 -
Adams, Dana
1819 Short Branch Dr Ste 103 , Trinity FL 34655-4423 -
Zigouris, Mary Ann
2087 Little Rd , Trinity FL 34655-4421 -
Koester, Cassie
9332 State Route 54 Suite 307, Trinity FL 34655 -
Long, Rick J.
121 Mahalani St , Wailuku HI 96793-2528 -
Brochu, Emily Rose
7921 Grimsby Ln , Trinity FL 34655-4266 -
Berger, Sara
4525 Henry Hudson Parkway Apt 810, Riverdale NY 10471-3811