Coughenour, Mark E

Coughenour, Mark E is an individual health care provider with primary practice located at 1717 13Th St Suite 300, Everett WA 98201-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Coughenour, Mark E can be contacted via phone (425) 297-5500.

Contact Information

Primary practice address
1717 13Th St Suite 300 Everett WA 98201-1621
Phone: (425) 297-5500
Fax: (425) 297-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00025571 Washington

Profile Details

NPI number 1760421374
LBN Legal business name Coughenour, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 6th, 2012 - about 13 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 1760421374 NPPES
Washington Other 0211179 LABOR AND INDUSTRY
Washington MEDICAID 8108839 LABOR AND INDUSTRY
Washington MEDICAID 1018272 LABOR AND INDUSTRY
Washington Other MD00025571 LABOR AND INDUSTRY
Washington Other 110073395 LABOR AND INDUSTRY

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