Coogler, Tina M

Coogler, Tina M is an individual health care provider with primary practice located at 44 E Cozza Dr , Spokane WA 99208-6514. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Coogler, Tina M can be contacted via phone (509) 325-6800.

Contact Information

Primary practice address
44 E Cozza Dr Spokane WA 99208-6514
Phone: (509) 325-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP60860966 Washington

Profile Details

NPI number 1003466855
LBN Legal business name Coogler, Tina M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2019
Last updated Sep 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003466855 NPPES
Washington MEDICAID 2077844

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