Individual
STEVEN R COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
181 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-9001
(207) 779-2902
Mailing address
181 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-9001
(207) 779-2902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1511
ME
363AS0400X
Surgical Physician Assistant
PA1511
ME
363AS0400X
Surgical Physician Assistant
PA9101763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050992
P.A.CERTIFICATE NUMBER
FL
05
—
291927300
—
FL
01
—
970030726
RR MEDICARE PROVIDER NUMB
FL
01
—
PA9101763
P.A.LICENSE NUMBER
FL
Enumeration date
10/10/2006
Last updated
02/26/2025
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