Coulson, Stephen Andrew
Coulson, Stephen Andrew is an sole proprietor health care provider with primary practice located at 1115 Margate Ln , Libertyville IL 60048-2441. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coulson, Stephen Andrew can be contacted via phone (847) 910-2850.Contact Information
Primary practice address
1115 Margate Ln
Libertyville IL 60048-2441
Phone: (847) 910-2850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036-098320 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-098320 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-098320 | Illinois |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 036-098320 | Illinois |
Profile Details
| NPI number | 1841292778 |
|---|---|
| LBN Legal business name | Coulson, Stephen Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | May 15th, 2013 - about 11 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 | 1841292778 | NPPES |
| Illinois | MEDICAID | 0360983202 |
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