Individual
JOHN T COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
209 BRIAR HILL RD, SUITE A, NORTH BALTIMORE, OH 45872-9504
(419) 257-1417
(419) 257-7408
Mailing address
640 S WINTERGARDEN RD, SUITE B, BOWLING GREEN, OH 43402-3544
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2274686
—
OH
01
—
DA5101
RR MEDICARE
OH
Enumeration date
06/07/2006
Last updated
06/03/2016
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