Provider Demographics
NPI:1053460030
Name:COIL, EILEEN (OTR/L, MOT)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:COIL
Suffix:
Gender:F
Credentials:OTR/L, MOT
Other - Prefix:MISS
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 160010
Mailing Address - Street 2:
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-0010
Mailing Address - Country:US
Mailing Address - Phone:406-995-7525
Mailing Address - Fax:406-995-7528
Practice Address - Street 1:32 MARKET PL.
Practice Address - Street 2:SUITE B
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716-0010
Practice Address - Country:US
Practice Address - Phone:406-995-7525
Practice Address - Fax:406-995-7528
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT997174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3402601Medicaid
MT000084497OtherMCARE GROUP