Provider Demographics
NPI:1821065772
Name:COAN, ERIN BLAIRE (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:BLAIRE
Last Name:COAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:BLAIRE
Other - Last Name:BISSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:44-295 KANEOHE BAY DR APT 2
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2648
Mailing Address - Country:US
Mailing Address - Phone:808-725-0121
Mailing Address - Fax:
Practice Address - Street 1:407 ULUNIU ST STE 214
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2537
Practice Address - Country:US
Practice Address - Phone:808-725-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012368262083A0100X
HI18850207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine