Coakley, John J
Coakley, John J is an individual health care provider with primary practice located at 235 Cantrell Ave , Harrisonburg VA 22801-3248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Coakley, John J can be contacted via phone (540) 433-4100.Contact Information
Primary practice address
235 Cantrell Ave
Harrisonburg VA 22801-3248
Phone: (540) 433-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0102201828 | Virginia |
Profile Details
| NPI number | 1154363125 |
|---|---|
| LBN Legal business name | Coakley, John J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 4th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154363125 | NPPES |
| Virginia | Other | 1841797000 | WEST VA MEDICAID |
| Virginia | MEDICAID | 10242924 | WEST VA MEDICAID |
| Virginia | Other | P00307895 | WEST VA MEDICAID |
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