Coles, Daniel Agee

Coles, Daniel Agee is an individual health care provider with primary practice located at 1700 Cerrillos Rd , Santa Fe NM 87505-3554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Coles, Daniel Agee can be contacted via phone (505) 988-9821.

Contact Information

Primary practice address
1700 Cerrillos Rd Santa Fe NM 87505-3554
Phone: (505) 988-9821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2005-0503 New Mexico

Profile Details

NPI number 1053390120
LBN Legal business name Coles, Daniel Agee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Sep 13th, 2011 - about 14 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 1053390120 NPPES
New Mexico MEDICAID 67151337

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