Healthcare Provider Details

I. General information

NPI: 1245485291
Provider Name (Legal Business Name): MICHAEL E COATS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5633 N LIDGERWOOD ST
SPOKANE WA
99208-1224
US

IV. Provider business mailing address

2022 N GOVERNMENT WAY
COEUR D ALENE ID
83814-3541
US

V. Phone/Fax

Practice location:
  • Phone: 208-667-5536
  • Fax: 208-765-1194
Mailing address:
  • Phone: 208-667-5536
  • Fax: 208-765-1194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL E COATS
Title or Position: PRESIDENT
Credential: MC
Phone: 208-667-5536