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Contact Information

BRIAN K COYNE, DPM
1901 N HEMMER RD # 110
PALMER, AK99645-9690
 Phone: 907-746-5678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN K COYNE · (Male)

NPI # 1407986979
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/06/2007
Last updated 11/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 3355
  • AK Medicaid PD1148
  • AK Medicaid PD11481
  • AK Medicaid PD11482
  • AK Medicaid PD11483
Hospital affiliation(s)
  • MAT-SU REGIONAL MEDICAL CENTER - (Acute Care)
    2500 SOUTH WOODWORTH LOOP
    PALMER, AK 99645
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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