# JANICE K COATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063575744
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 5101010301 | MI | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 02/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558407189 | GROUP NPI | MI |
| 01 | — | 1922090554 | GROUP NPI | MI |
| 01 | — | 350D176310 | BCBS GROUP | MI |
| 05 | — | 4478676 | — | MI |
| 01 | — | 5101010301 | STATE LICENSE | MI |