Search › Michigan › 363A00000X
Jacob Coughlin, PA-C
NPI 1396025805 · on the registry since 2011
Practice
- Address
- 4613 W Main St Ste A
Kalamazoo, MI 49006 - Phone
- (269) 488-8672
- Fax
- (269) 488-8673
- Organisation at this address
- Healthcare Midwest Pc
Healthcare Midwest PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan