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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
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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