Provider Demographics
NPI:1154391787
Name:COIL, DAVID L (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:COIL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1953 WATERFALL DR
Mailing Address - Street 2:
Mailing Address - City:NAPPANEE
Mailing Address - State:IN
Mailing Address - Zip Code:46550-8961
Mailing Address - Country:US
Mailing Address - Phone:574-773-4101
Mailing Address - Fax:574-773-5483
Practice Address - Street 1:1953 WATERFALL DR
Practice Address - Street 2:
Practice Address - City:NAPPANEE
Practice Address - State:IN
Practice Address - Zip Code:46550-8961
Practice Address - Country:US
Practice Address - Phone:574-773-4101
Practice Address - Fax:574-773-5483
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001877A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200151520Medicaid
IN184520WMedicare ID - Type Unspecified
G57729Medicare UPIN