National Provider Identifier Database

COASTAL MED TECH INC
Oxygen Equipment & Supplies


Contact Information

COASTAL MED TECH INC
844 US ROUTE 2 E
WILTON, ME04294-3864
Phone: 207-645-3343
Fax: 207-645-3338
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X

* Indicates primary specialty

NPI Profile & details for COASTAL MED TECH INC

NPI Number 1376801084
Legal business name
LBN
COASTAL MED TECH INC
Authorized official SHANNON SEVEY - (COMPLIANCE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/01/2012
Last updated 10/05/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 1145929
  • ME Medicaid: 118860000

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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