Coehlo, Thomas Eugene
Coehlo, Thomas Eugene is an sole proprietor health care provider with primary practice located at 132 Sw Crowell Way Ste 100 , Bend OR 97702-1178. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Coehlo, Thomas Eugene can be contacted via phone (541) 385-5515.Contact Information
Primary practice address
132 Sw Crowell Way Ste 100
Bend OR 97702-1178
Phone: (541) 385-5515
Fax: (541) 385-5578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 090007430N1 | Oregon |
Profile Details
| NPI number | 1003890351 |
|---|---|
| LBN Legal business name | Coehlo, Thomas Eugene |
| Credentials | RN, MSN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003890351 | NPPES |
| Oregon | MEDICAID | 006372 |
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