Coffer, Jacqueline

Coffer, Jacqueline is an sole proprietor health care provider with primary practice located at 901 E Sibley Blvd , South Holland IL 60473-1166. She recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as her primary health care specialty. Coffer, Jacqueline can be contacted via phone (773) 233-4100.

Contact Information

Primary practice address
901 E Sibley Blvd South Holland IL 60473-1166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X Illinois

Profile Details

NPI number 1528638020
LBN Legal business name Coffer, Jacqueline
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2021
Last updated Jun 28th, 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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