Coyne, Mara Beth

Coyne, Mara Beth is an individual health care provider with primary practice located at 1505 Wilson Ter Suite 200, Glendale CA 91206-4071. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Coyne, Mara Beth can be contacted via phone (818) 246-8974.

Contact Information

Primary practice address
1505 Wilson Ter Suite 200 Glendale CA 91206-4071
Phone: (818) 246-8974
Fax: (818) 246-7673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PT-18312 California

Profile Details

NPI number 1902852155
LBN Legal business name Coyne, Mara Beth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 2nd, 2021 - about 4 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 1902852155 NPPES
California Other PT-18312 PHYSICIAN ASSISTANT

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