Coauette, Jordan Heather

Coauette, Jordan Heather is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Coauette, Jordan Heather can be contacted via phone (701) 234-8880.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Phone: (701) 234-8880
Fax: (701) 234-8995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301085646 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11254 North Dakota

Profile Details

NPI number 1457471880
LBN Legal business name Coauette, Jordan Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Apr 29th, 2022 - about 2 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 1457471880 NPPES
North Dakota MEDICAID 10649

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