Coen, Jeffery R

Coen, Jeffery R is an sole proprietor health care provider with primary practice located at 294 Washington St Suite 217, Boston MA 02108-4634. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Coen, Jeffery R can be contacted via phone (617) 426-8464.

Contact Information

Primary practice address
294 Washington St Suite 217 Boston MA 02108-4634
Phone: (617) 426-8464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1645 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1645 Massachusetts
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PD 1645 Massachusetts

Profile Details

NPI number 1891751913
LBN Legal business name Coen, Jeffery R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Aug 2nd, 2021 - about 3 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 1891751913 NPPES
Massachusetts Other Y70711 MEDICARE
Massachusetts Other 339554 MEDICARE
Massachusetts MEDICAID 0344907 MEDICARE

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