Coyne, Timothy F

Coyne, Timothy F is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 304, Goodyear AZ 85395-2624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Coyne, Timothy F can be contacted via phone (623) 935-5522.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 304 Goodyear AZ 85395-2624
Phone: (623) 935-5522
Fax: (623) 935-3220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3171 Arizona

Profile Details

NPI number 1285607978
LBN Legal business name Coyne, Timothy F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2006
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285607978 NPPES
Arizona MEDICAID 004411

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