Coen, Mark Anthony
Coen, Mark Anthony is an sole proprietor health care provider with primary practice located at 505 S 12Th Ave W , Virginia MN 55792-3099. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Coen, Mark Anthony can be contacted via phone (218) 749-2877.Contact Information
Primary practice address
505 S 12Th Ave W
Virginia MN 55792-3099
Phone: (218) 749-2877
Fax: (218) 749-6033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303198 | Minnesota |
Profile Details
| NPI number | 1588227342 |
|---|---|
| LBN Legal business name | Coen, Mark Anthony |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2019 |
| Last updated | Apr 17th, 2019 - about 5 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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