Ingram, Coburn G.

Ingram, Coburn G. is an sole proprietor health care provider with primary practice located at 52 Engh Rd Unit 30 , Omak WA 98841-9646. He recently has only one registered license in Other Service Providers / Interpreter, which is considered as his primary health care specialty. Ingram, Coburn G. can be contacted via phone (509) 429-0949.

Contact Information

Primary practice address
52 Engh Rd Unit 30 Omak WA 98841-9646
Phone: (509) 429-0949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X MC12530 Washington

Profile Details

NPI number 1588276836
LBN Legal business name Ingram, Coburn G.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 5 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 1588276836 NPPES
Washington Other 0303065 L&I PROVIDER NUMBER

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