Coffee, Carol S.
Coffee, Carol S. is an sole proprietor health care provider with primary practice located at 504 S Vine St , Advance MO 63730-8060. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Coffee, Carol S. can be contacted via phone (573) 722-6111.Contact Information
Primary practice address
504 S Vine St
Advance MO 63730-8060
Phone: (573) 722-6111
Fax: (573) 722-6555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 2001031601 | Missouri |
Profile Details
| NPI number | 1316591340 |
|---|---|
| LBN Legal business name | Coffee, Carol S. |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2019 |
| Last updated | Jul 29th, 2019 - about 5 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 | 1316591340 | NPPES |
| Missouri | MEDICAID | 266135003 |
Popular Providers
-
Bernardi, Michelle
100 N Wilkes Barre Blvd Ste 103 , Wilkes Barre PA 18702-5240 -
Modell, John M.
7500 Cochrane Circle Attn: Col Modell Usa Meddac, Fort Carson CO 80913 -
Veresh, Kathleen Ann
1020 S Main St , Slc UT 84101-3176 -
Wilkerson, Peggye Ann
7500 Security Blvd Mail Stop S2-12-25, Baltimore MD 21244 -
Hodges, Charlotte
196 Scoggins Dr , Demorest GA 30535-5354 -
Wonnett, Jamie
1650 Cochrane Cir , Fort Carson CO 80913-4603 -
Dietrick, Helen Marie
7500 Security Blvd N3-22-07, Baltimore MD 21244-1849 -
Greenberg, Mary Beth
624 Warrington Ave Se , Washington DC 20374-5022