Coman, Mark
Coman, Mark is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Coman, Mark can be contacted via phone (860) 358-6394.Contact Information
Primary practice address
28 Crescent St
Middletown CT 06457-3654
Phone: (860) 358-6394
Fax: (860) 358-6748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 232 | Connecticut |
Profile Details
| NPI number | 1184814956 |
|---|---|
| LBN Legal business name | Coman, Mark |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Dec 27th, 2011 - about 13 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 | 1184814956 | NPPES |
| Connecticut | Other | 000232 | CT LICENSE |
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