M Coyle Llc | |
8 Prince Pl # 113 Newburyport MA 01950-2612 | |
(978) 317-9635 | |
Not Available |
Full Name | M Coyle Llc |
---|---|
Speciality | Clinic/Center |
Location | 8 Prince Pl # 113, Newburyport, Massachusetts |
Authorized Official Name and Position | Mireille Coyle (OWNER) |
Authorized Official Contact | 9783179635 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M Coyle Llc 65 Shortell Ave Beverly MA 01915-3948 Ph: () - | M Coyle Llc 8 Prince Pl # 113 Newburyport MA 01950-2612 Ph: (978) 317-9635 |
NPI Number | 1801550009 |
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Provider Enumeration Date | 10/25/2021 |
Last Update Date | 10/25/2021 |
Certification Date | 10/25/2021 |
Medicare PECOS PAC ID | 5991197741 |
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Medicare Enrollment ID | O20220128000084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801550009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Mireille Coyle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588035497 PECOS PAC ID: 2668761156 Enrollment ID: I20160524000216 |
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