Cofer, Damon Edwin

Cofer, Damon Edwin is an sole proprietor health care provider with primary practice located at 51 Office Park Dr , Jacksonville NC 28546-7327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cofer, Damon Edwin can be contacted via phone (910) 577-5199.

Contact Information

Primary practice address
51 Office Park Dr Jacksonville NC 28546-7327
Phone: (910) 577-5199
Fax: (910) 577-3424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013-01653 North Carolina

Profile Details

NPI number 1710121660
LBN Legal business name Cofer, Damon Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2009
Last updated Apr 2nd, 2015 - about 9 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 1710121660 NPPES
North Carolina MEDICAID 561842672

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