Coughenour, Colin G

Coughenour, Colin G is an sole proprietor health care provider with primary practice located at 18 Warrick Ct , Petaluma CA 94954-5848. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist is his primary health care specialty. Coughenour, Colin G can be contacted via phone (707) 217-7838.

Contact Information

Primary practice address
18 Warrick Ct Petaluma CA 94954-5848
Phone: (707) 217-7838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ACE - T145486 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X ACE - T145486 California

Profile Details

NPI number 1659605574
LBN Legal business name Coughenour, Colin G
Credentials CPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2009
Last updated Sep 24th, 2009 - about 15 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.

Request for update

Popular Providers