Provider Demographics
NPI:1245485291
Name:MICHAEL E COATS MD PLLC
Entity type:Organization
Organization Name:MICHAEL E COATS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:COATS
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:208-667-5536
Mailing Address - Street 1:2022 N GOVERNMENT WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-3541
Mailing Address - Country:US
Mailing Address - Phone:208-667-5536
Mailing Address - Fax:208-765-1194
Practice Address - Street 1:5633 N LIDGERWOOD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-1224
Practice Address - Country:US
Practice Address - Phone:208-667-5536
Practice Address - Fax:208-765-1194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID80541660Medicaid
WA1107366Medicaid
WAGAB32108Medicare PIN
ID1141791Medicare PIN