Coyne, Susan O'Neil

Coyne, Susan O'Neil is an individual health care provider with primary practice located at 92 Campus Dr Fl 3 , Scarborough ME 04074-7133. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Coyne, Susan O'Neil can be contacted via phone (207) 797-5753.

Contact Information

Primary practice address
92 Campus Dr Fl 3 Scarborough ME 04074-7133
Phone: (207) 797-5753
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA059270 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2311 Maine

Profile Details

NPI number 1932628450
LBN Legal business name Coyne, Susan O'Neil
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2017
Last updated May 24th, 2022 - about 3 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 1932628450 NPPES
Maine Other PA2311 MAINE STATE CERTIFICATION

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