Coram, Rita
Coram, Rita is an individual health care provider with primary practice located at 22060 Beech St Ste 200 , Dearborn MI 48124-2853. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Coram, Rita can be contacted via phone (313) 228-0505.Contact Information
Primary practice address
22060 Beech St Ste 200
Dearborn MI 48124-2853
Phone: (313) 228-0505
Fax: (313) 228-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | TP446 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 41345 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301116063 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301116063 | Michigan |
Profile Details
| NPI number | 1730379058 |
|---|---|
| LBN Legal business name | Coram, Rita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Jul 14th, 2022 - about 2 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 | 1730379058 | NPPES |
| Kentucky | MEDICAID | 7100009490 |
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