Coots, Joel Wayne

Coots, Joel Wayne is an individual health care provider with primary practice located at 2301 N Bendix Dr , South Bend IN 46628-3486. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Coots, Joel Wayne can be contacted via phone (574) 647-1675.

Contact Information

Primary practice address
2301 N Bendix Dr South Bend IN 46628-3486
Phone: (574) 647-1675
Fax: (574) 232-5595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001120A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1235146945
LBN Legal business name Coots, Joel Wayne
Credentials MPAS,PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 17th, 2015 - about 10 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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