Provider Demographics
NPI: | 1205148988 |
---|---|
Name: | COIN, LOUIS ARTHUR I (RRT) |
Entity type: | Individual |
Prefix: | |
First Name: | LOUIS |
Middle Name: | ARTHUR |
Last Name: | COIN |
Suffix: | I |
Gender: | M |
Credentials: | RRT |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | HC 1 BOX 2305 |
Mailing Address - Street 2: | |
Mailing Address - City: | SONOITA |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85637-9706 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 520-455-0067 |
Mailing Address - Fax: | |
Practice Address - Street 1: | HC 1 BOX 2305 |
Practice Address - Street 2: | |
Practice Address - City: | SONOITA |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85637-9706 |
Practice Address - Country: | US |
Practice Address - Phone: | 520-455-0067 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2010-07-09 |
Last Update Date: | 2010-07-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AZ | 1401 | 2279C0205X, 2279E0002X, 2279G1100X, 2279P1006X, 2279P3900X, 2279P4000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care |
No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care |
No | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care |
No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist |
No | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics |
No | 2279P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Patient Transport |