Coburn, Marianne Lucille

Coburn, Marianne Lucille is an individual health care provider with primary practice located at 1221 Hayes Ave Suite C, Sandusky OH 44870-3345. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Coburn, Marianne Lucille can be contacted via phone (419) 627-8131.

Contact Information

Primary practice address
1221 Hayes Ave Suite C Sandusky OH 44870-3345
Phone: (419) 627-8131
Fax: (419) 621-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-015952 Ohio

Profile Details

NPI number 1568502516
LBN Legal business name Coburn, Marianne Lucille
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1568502516 NPPES
Ohio MEDICAID 0645814

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