Coquillette, Madeline Marie

Coquillette, Madeline Marie is an individual health care provider with primary practice located at 1375 E 19Th Ave , Denver CO 80218-1114. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Coquillette, Madeline Marie can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 19Th Ave Denver CO 80218-1114
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X DR.0060308 Colorado

Profile Details

NPI number 1699169508
LBN Legal business name Coquillette, Madeline Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2015
Last updated Sep 16th, 2021 - about 3 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 1699169508 NPPES
Colorado Other 029186 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 9000161644 KAISER COMMERCIAL NUMBER

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