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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710121660 | NPPES |
| North Carolina | MEDICAID | 561842672 |
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