Raven, Mary Coenen
Raven, Mary Coenen is an individual health care provider with primary practice located at 4950 Essen Ln Ste 503 , Baton Rouge LA 70809-3738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Raven, Mary Coenen can be contacted via phone (225) 765-1737.Contact Information
Primary practice address
4950 Essen Ln Ste 503
Baton Rouge LA 70809-3738
Phone: (225) 765-1737
Fax: (225) 765-1842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200349 | Louisiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 200349 | Louisiana |
Profile Details
| NPI number | 1427249366 |
|---|---|
| LBN Legal business name | Raven, Mary Coenen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | May 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427249366 | NPPES |
| Mississippi | MEDICAID | 05823364 | |
| Mississippi | MEDICAID | 1066991 |
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