Provider Demographics
NPI:1720208341
Name:DOCTOR COIL
Entity Type:Organization
Organization Name:DOCTOR COIL
Other - Org Name:SANDRA ESBER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-487-3001
Mailing Address - Street 1:7369 W BELL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-4814
Mailing Address - Country:US
Mailing Address - Phone:623-487-3001
Mailing Address - Fax:623-487-3455
Practice Address - Street 1:7369 W BELL RD STE 3
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-4814
Practice Address - Country:US
Practice Address - Phone:623-487-3001
Practice Address - Fax:623-487-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5152670001Medicare NSC