Individual
CARL COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3652 MINK ST SW, PATASKALA, OH 43062-8857
(740) 927-8450
Mailing address
3652 MINK ST SW, PATASKALA, OH 43062-8857
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110853
—
OH
Enumeration date
02/03/2015
Last updated
02/03/2015
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